Provider Demographics
NPI:1528227279
Name:WELTER, LOUISE A (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LOUISE
Middle Name:A
Last Name:WELTER
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 1:1626 E NORTHSHORE DR
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-2160
Mailing Address - Country:US
Mailing Address - Phone:480-415-2152
Mailing Address - Fax:
Practice Address - Street 1:414 S MILL AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85281-2845
Practice Address - Country:US
Practice Address - Phone:480-415-2152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-07
Last Update Date:2008-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3826103T00000X, 103TA0700X, 103TB0200X, 103TC0700X, 103TF0000X, 103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy