Healthcare Provider Details

I. General information

NPI: 1174445324
Provider Name (Legal Business Name): MICAH WELSCHINGER CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5495 ARAPAHOE AVE
BOULDER CO
80303-1260
US

IV. Provider business mailing address

220 SUMMIT BLVD UNIT 343
BROOMFIELD CO
80021-8261
US

V. Phone/Fax

Practice location:
  • Phone: 720-220-1631
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: