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Contact Information

WELBY J LO, CCC-SLP
900 MONO WAY
SPORTS MEDICINE AND REHABILITATION
SONORA, CA95370
 Phone: 209-536-6920
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for WELBY J LO · (Male)

NPI Number 1104299700
Status Active
Credentials CCC-SLP (Certificate of Clinical Competance in Speech language pathology)
Entity Individual
Enumeration date 11/04/2015
Last updated 01/23/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 10300
  • CA License # 25209
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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