Provider Demographics
NPI:1619785300
Name:WELSH, GERALD RICHARD JR (MS, MDIV)
Entity type:Individual
Prefix:
First Name:GERALD
Middle Name:RICHARD
Last Name:WELSH
Suffix:JR
Gender:M
Credentials:MS, MDIV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1884 SYCAMORE DR
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-6035
Mailing Address - Country:US
Mailing Address - Phone:215-301-2539
Mailing Address - Fax:
Practice Address - Street 1:4000 SAWMILL RD
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18902-9667
Practice Address - Country:US
Practice Address - Phone:267-880-6322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-26
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAPC000479101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor