Provider Demographics
NPI:1316045776
Name:WELSH, FREDERICK JAMES (MED, LMHC)
Entity type:Individual
Prefix:MR
First Name:FREDERICK
Middle Name:JAMES
Last Name:WELSH
Suffix:
Gender:M
Credentials:MED, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 MORNINGSIDE LN
Mailing Address - Street 2:
Mailing Address - City:FOXBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02035-1515
Mailing Address - Country:US
Mailing Address - Phone:508-580-8700
Mailing Address - Fax:508-580-3114
Practice Address - Street 1:80 LAURIE LN
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02324-3559
Practice Address - Country:US
Practice Address - Phone:508-697-8035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3460101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health