Provider Demographics
NPI:1386799724
Name:WELSH, MARY CATHERINE (PHD)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:CATHERINE
Last Name:WELSH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
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Mailing Address - Street 1:5901 AIRPORT BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-3169
Mailing Address - Country:US
Mailing Address - Phone:251-343-2597
Mailing Address - Fax:251-342-0122
Practice Address - Street 1:5901 AIRPORT BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-3169
Practice Address - Country:US
Practice Address - Phone:251-343-2597
Practice Address - Fax:251-342-0122
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL272103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51099415OtherAMERICAN BEHAVIORAL
AL040635OtherMANAGED HEALTH NETWORK
AL173980OtherCOMPSYCH
AL51070624OtherBLUE CROSS BLUE SHIELD
AL51070624OtherBLUE CROSS BLUE SHIELD
AL51099415OtherAMERICAN BEHAVIORAL