Doctor Name: | WELBY JOSEPH LO |
NPI Number: | 1104299700 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | SLP |
License Number: | 10300 |
Business Practice Address: | 225 Posada Ln Templeton, CA - 934654058 |
Business Phone Number: | 8055917188 |
Business Fax Number: | |
Mailing Address: | 1805 Bella Vista Ct, PASO ROBLES |
State: | CA |
Postal Code: | 934466374 |
Phone Number: | 7606506964 |
Fax Number: | |
NPI Enumeration Date: | 11/04/2015 |
NPI Last Update Date: | 11/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 10300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |