Provider Demographics
NPI:1275524324
Name:WELCHOFF, TRACY NARINS (PHD)
Entity Type:Individual
Prefix:DR
First Name:TRACY
Middle Name:NARINS
Last Name:WELCHOFF
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 GREENAWAY RD
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-4111
Mailing Address - Country:US
Mailing Address - Phone:716-689-8787
Mailing Address - Fax:
Practice Address - Street 1:2430 N FOREST RD
Practice Address - Street 2:STE 140
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14068-1557
Practice Address - Country:US
Practice Address - Phone:716-634-1184
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-28
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012183103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY11296BMedicare ID - Type Unspecified