Provider Demographics
NPI:1538235932
Name:WELCH, ELIZABETH PEARL (AUD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:PEARL
Last Name:WELCH
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 COVEY DR STE 111
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-5603
Mailing Address - Country:US
Mailing Address - Phone:615-591-6410
Mailing Address - Fax:615-591-6425
Practice Address - Street 1:100 COVEY DR STE 111
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-5603
Practice Address - Country:US
Practice Address - Phone:615-591-6410
Practice Address - Fax:615-591-6425
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNA001217231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4095712Medicaid
TN4095712OtherBLUE CROSS
TN3967012Medicare ID - Type Unspecified