Provider Demographics
NPI:1780406769
Name:CARRIE A WELTY DBA JOURNEY THROUGH SPEECH
Entity type:Organization
Organization Name:CARRIE A WELTY DBA JOURNEY THROUGH SPEECH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:WELTY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:607-247-1221
Mailing Address - Street 1:161 OAKWOOD AVE.
Mailing Address - Street 2:STE C
Mailing Address - City:ELMIRA HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:14903-1648
Mailing Address - Country:US
Mailing Address - Phone:607-247-1221
Mailing Address - Fax:
Practice Address - Street 1:161 OAKWOOD AVE.
Practice Address - Street 2:STE C
Practice Address - City:ELMIRA HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:14903-1648
Practice Address - Country:US
Practice Address - Phone:607-247-1221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech