Individual
DR. STACY SHAW WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1218 3RD AVE, SUITE 500, SEATTLE, WA 98101-3097
(206) 374-0109
(206) 374-0108
Mailing address
1218 3RD AVE, SUITE 500, SEATTLE, WA 98101-3097
(206) 374-0109
(206) 374-0108
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
PY00003296
WA
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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