Healthcare Provider Details

I. General information

NPI: 1386799724
Provider Name (Legal Business Name): MARY CATHERINE WELSH PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 AIRPORT BLVD SUITE B
MOBILE AL
36608-3169
US

IV. Provider business mailing address

5901 AIRPORT BLVD SUITE B
MOBILE AL
36608-3169
US

V. Phone/Fax

Practice location:
  • Phone: 251-343-2597
  • Fax: 251-342-0122
Mailing address:
  • Phone: 251-343-2597
  • Fax: 251-342-0122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number272
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number272
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: