Healthcare Provider Details

I. General information

NPI: 1043669674
Provider Name (Legal Business Name): CHRIS WELCH MT-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2016
Last Update Date: 06/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 MORGANTOWN ST
UNIONTOWN PA
15401-4871
US

IV. Provider business mailing address

78 CONNOR ST
UNIONTOWN PA
15401-4082
US

V. Phone/Fax

Practice location:
  • Phone: 724-557-6598
  • Fax:
Mailing address:
  • Phone: 724-322-7387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number12432
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: