| Doctor Name: | KYRA WELCH |
| NPI Number: | 1649649765 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 1 Oyster Bay Road Apt. D Absecon, NJ - 08201 |
| Business Phone Number: | 6098161779 |
| Business Fax Number: | |
| Mailing Address: | 1 Oyster Bay Rd Apt D, ABSECON |
| State: | NJ |
| Postal Code: | 082012834 |
| Phone Number: | 6098161779 |
| Fax Number: | |
| NPI Enumeration Date: | 09/18/2015 |
| NPI Last Update Date: | 09/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |