Provider Demographics
NPI:1891162590
Name:WELCH, ASHLEY
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:WELCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 MAIN ST
Mailing Address - Street 2:B
Mailing Address - City:SAUGUS
Mailing Address - State:MA
Mailing Address - Zip Code:01906-2306
Mailing Address - Country:US
Mailing Address - Phone:413-244-7929
Mailing Address - Fax:
Practice Address - Street 1:40 MAIN ST
Practice Address - Street 2:B
Practice Address - City:SAUGUS
Practice Address - State:MA
Practice Address - Zip Code:01906-2306
Practice Address - Country:US
Practice Address - Phone:413-244-7929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-28
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor