Individual
DR. GINGER LEA WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4128 COVE DR, YUKON, OK 73099-3004
(405) 880-2189
Mailing address
4128 COVE DR, YUKON, OK 73099-3004
(405) 880-2189
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1035
OK
103TC1900X
Counseling Psychologist
1035
OK
103TC2200X
Clinical Child & Adolescent Psychologist
1035
OK
103TH0004X
Health Psychologist
1035
OK
103TH0100X
Health Service Psychologist
1035
OK
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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