| Doctor Name: | DR. LORI T. WELCH |
| NPI Number: | 1063426484 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 2923 |
| Business Practice Address: | 3105 Dahlonega Hwy Cumming, GA - 300403919 |
| Business Phone Number: | 7708876211 |
| Business Fax Number: | 7708879389 |
| Mailing Address: | 1595 Peachtree Pkwy., Ste. 204-356 CUMMING |
| State: | GA |
| Postal Code: | 30041 |
| Phone Number: | 7708876211 |
| Fax Number: | 7708879389 |
| NPI Enumeration Date: | 07/28/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 2923 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |