Provider Demographics
NPI:1295861094
Name:WELCH, NADINE M (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:NADINE
Middle Name:M
Last Name:WELCH
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13009 BENT OAK DR
Mailing Address - Street 2:
Mailing Address - City:WOODWAY
Mailing Address - State:TX
Mailing Address - Zip Code:76712-8537
Mailing Address - Country:US
Mailing Address - Phone:254-224-6739
Mailing Address - Fax:
Practice Address - Street 1:13009 BENT OAK DR
Practice Address - Street 2:
Practice Address - City:WOODWAY
Practice Address - State:TX
Practice Address - Zip Code:76712-8537
Practice Address - Country:US
Practice Address - Phone:254-224-6739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14789235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist