Provider Demographics
NPI:1477901908
Name:WELCH, SARAH (SLP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:WELCH
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 N 1ST AVE
Mailing Address - Street 2:STE 190
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-1637
Mailing Address - Country:US
Mailing Address - Phone:303-659-4090
Mailing Address - Fax:720-230-4875
Practice Address - Street 1:21 N 1ST AVE
Practice Address - Street 2:STE 190
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-1637
Practice Address - Country:US
Practice Address - Phone:303-659-4090
Practice Address - Fax:720-230-4875
Is Sole Proprietor?:No
Enumeration Date:2016-05-25
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist