Provider Demographics
NPI:1760534952
Name:WELD, TANIA MAFALDA CORNELIO (MFT)
Entity type:Individual
Prefix:MRS
First Name:TANIA
Middle Name:MAFALDA CORNELIO
Last Name:WELD
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MS
Other - First Name:TANIA
Other - Middle Name:MAFALDA
Other - Last Name:CORNELIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT
Mailing Address - Street 1:2055 DIAMOND HILL RD UNIT 7913
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-8862
Mailing Address - Country:US
Mailing Address - Phone:617-429-9610
Mailing Address - Fax:
Practice Address - Street 1:2055 DIAMOND HILL RD UNIT 7913
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-8862
Practice Address - Country:US
Practice Address - Phone:617-429-9610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMFT00124106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist