Provider Demographics
NPI:1508900911
Name:WELCH, THOMAS WESLEY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:WESLEY
Last Name:WELCH
Suffix:
Gender:M
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:PO BOX 9593
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-0593
Mailing Address - Country:US
Mailing Address - Phone:303-478-7200
Mailing Address - Fax:303-864-1740
Practice Address - Street 1:5031 S ULSTER ST
Practice Address - Street 2:SUITE 370
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-2804
Practice Address - Country:US
Practice Address - Phone:303-478-7200
Practice Address - Fax:303-864-1740
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2423103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical