Individual
JAMIE LORELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
11821 TEALE ST, CULVER CITY, CA 90230-7701
(310) 390-8868
Mailing address
11821 TEALE ST, CULVER CITY, CA 90230-7701
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
OT 5583
CA
Other
Enumeration date
11/13/2013
Last updated
03/25/2014
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