Individual
MRS. JILL D WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1119 WESTWOOD DRIVE, SUITE C, VAN WERT, OH 45891-1473
(888) 557-1200
(419) 238-3612
Mailing address
11413 COUNTY ROAD 60, HAVILAND, OH 45851-9623
(419) 399-3466
(419) 238-3612
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 6779
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000362509
ANTHEM PIN #
OH
Enumeration date
05/03/2007
Last updated
07/08/2007
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