Doctor Name: | DR. CHRISTOPHER DUANE WELCH |
NPI Number: | 1013039809 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D. |
License Number: | |
Business Practice Address: | 63 College Ave Somerville, MA - 021441957 |
Business Phone Number: | 6176296628 |
Business Fax Number: | |
Mailing Address: | 148 High St, 29 MEDFORD |
State: | MA |
Postal Code: | 021553845 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |