MEDICARE: DR. TRACY NARINS WELCHOFF PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	012183	NY

General Provider Information

NPI Number	:	1275524324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRACY NARINS WELCHOFF PH.D.

Provider Business Mailing Address
First Line	:	81 GREENAWAY RD
Second Line	:
City	:	AMHERST
State	:	NY
Zip	:	14226-4111
Country	:	US
Telephone Number	:	716-689-8787
Fax Number	:

Provider Business Practice Location Address
First Line	:	2430 N FOREST RD
Second Line	:	STE 140
City	:	AMHERST
State	:	NY
Zip	:	14068-1557
Country	:	US
Telephone Number	:	716-634-1184
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2005
Last Update Date	:	11/07/2019

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