Organization
NATIONAL TRAUMA & ADDICTION INSTITUTE
Active
Other names
Dr. Heather Welker
Organization subpart
No
Provider details
NPI number
Authorized official
DR. M HEATHER WELKER PSY.D. (PRESIDENT/PSYCHOLOGIST)
(417) 880-3448
Entity
Organization
Contact information
Practice address
725 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-4125
(417) 880-3448
Mailing address
2107 E BERKELEY ST, SPRINGFIELD, MO 65804-3336
(417) 880-3448
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
01871
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437118296
—
MO
Enumeration date
05/01/2009
Last updated
05/01/2009
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