Provider Demographics
NPI:1760692578
Name:WELFORD, VIRGINIA L (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:L
Last Name:WELFORD
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 OLD FOREST CREEK DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-5420
Mailing Address - Country:US
Mailing Address - Phone:877-778-4372
Mailing Address - Fax:678-392-4401
Practice Address - Street 1:250 OLD FOREST CREEK DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-5420
Practice Address - Country:US
Practice Address - Phone:877-778-4372
Practice Address - Fax:678-392-4401
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3350235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist