Healthcare Provider Details

I. General information

NPI: 1922492891
Provider Name (Legal Business Name): REBECCA KATHLEEN WELSH MED, ALC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2015
Last Update Date: 03/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 OFFICE PARK CIRCLE BUILDING 4 SUITE 217
BIRMIGHAM AL
35223
US

IV. Provider business mailing address

PO BOX 59768
BIRMINGHAM AL
35259-9768
US

V. Phone/Fax

Practice location:
  • Phone: 205-871-3332
  • Fax:
Mailing address:
  • Phone: 205-871-3332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberC2241A
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: