Individual
MRS. KATHY WHITEHEAD WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,CCC,SLP
Contact information
Practice address
2125 E SOUTH BLVD, MONTGOMERY, AL 36116-2409
(334) 288-0240
(334) 288-7171
Mailing address
59 WILD OAK CT, WETUMPKA, AL 36093-2760
(334) 514-8193
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
229
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51001772
SPEECH PATHOLOGIST
AL
Enumeration date
01/25/2007
Last updated
07/09/2007
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