Provider Demographics
NPI:1437118296
Name:WELKER, MARGARET HEATHER (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:HEATHER
Last Name:WELKER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3741 N FR 151
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65803-8260
Mailing Address - Country:US
Mailing Address - Phone:417-869-7873
Mailing Address - Fax:417-890-8827
Practice Address - Street 1:3805 S KANSAS EXPY
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-6988
Practice Address - Country:US
Practice Address - Phone:417-890-7888
Practice Address - Fax:417-890-8827
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO01871103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOQ34951Medicare UPIN