Doctor Name: | MISS CONNIE WELCH |
NPI Number: | 1699714154 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.H.S. |
License Number: | 01500 |
Business Practice Address: | 679 W Elm St #2 Lebanon, MO - 655363585 |
Business Phone Number: | 4175884275 |
Business Fax Number: | |
Mailing Address: | 212 Hillside Ct, LEBANON |
State: | MO |
Postal Code: | 655364457 |
Phone Number: | 4175325725 |
Fax Number: | |
NPI Enumeration Date: | 06/06/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 01500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |