Provider Demographics
NPI:1568290450
Name:WELCH, KERRY (MS, CAADC, ACRPS)
Entity type:Individual
Prefix:
First Name:KERRY
Middle Name:
Last Name:WELCH
Suffix:
Gender:F
Credentials:MS, CAADC, ACRPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 SPRINGDALE DR
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2843
Mailing Address - Country:US
Mailing Address - Phone:484-565-8272
Mailing Address - Fax:484-565-8219
Practice Address - Street 1:825 SPRINGDALE DR
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2843
Practice Address - Country:US
Practice Address - Phone:484-565-8272
Practice Address - Fax:484-565-8219
Is Sole Proprietor?:No
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional