MEDICARE: SARAH WELCH CCC-SLP

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	235Z00000X	Speech-Language Pathologist	109663	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	83S600	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699132506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH WELCH CCC-SLP

Provider Business Mailing Address
First Line	:	2512 SHADY GROVE LN
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-2717
Country	:	US
Telephone Number	:	469-274-3401
Fax Number	:

Provider Business Practice Location Address
First Line	:	2512 SHADY GROVE LN
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-2717
Country	:	US
Telephone Number	:	469-274-3401
Fax Number	:

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

Provider Enumeration Date	:	01/22/2016
Last Update Date	:	11/14/2022

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Directions to “ SARAH WELCH CCC-SLP” Practice Location

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