Provider Demographics
NPI:1790429801
Name:WELCH, RONEE (CLC)
Entity Type:Individual
Prefix:MRS
First Name:RONEE
Middle Name:
Last Name:WELCH
Suffix:
Gender:F
Credentials:CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6872 SAINT PETERS RD
Mailing Address - Street 2:
Mailing Address - City:MACUNGIE
Mailing Address - State:PA
Mailing Address - Zip Code:18062-9162
Mailing Address - Country:US
Mailing Address - Phone:484-951-0902
Mailing Address - Fax:
Practice Address - Street 1:6872 SAINT PETERS RD
Practice Address - Street 2:
Practice Address - City:MACUNGIE
Practice Address - State:PA
Practice Address - Zip Code:18062-9162
Practice Address - Country:US
Practice Address - Phone:484-951-0902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-25
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No171400000XOther Service ProvidersHealth & Wellness Coach
No374J00000XNursing Service Related ProvidersDoula