Provider Demographics
NPI:1780632836
Name:WELCH, JUDITH C (AUD)
Entity Type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:C
Last Name:WELCH
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:BREVARD
Other - Middle Name:HEARING
Other - Last Name:CENTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 946
Mailing Address - Street 2:
Mailing Address - City:BREVARD
Mailing Address - State:NC
Mailing Address - Zip Code:28712-0946
Mailing Address - Country:US
Mailing Address - Phone:828-966-4327
Mailing Address - Fax:828-966-4352
Practice Address - Street 1:127 N BROAD ST
Practice Address - Street 2:STE C
Practice Address - City:BREVARD
Practice Address - State:NC
Practice Address - Zip Code:28712-3368
Practice Address - Country:US
Practice Address - Phone:828-966-4327
Practice Address - Fax:828-966-4352
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC711231H00000X
NC594237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7412234Medicaid
NC46413OtherBCBS NC
NC7002634Medicaid
NC7412234Medicaid
NC7002634Medicaid