Individual
ANCY VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 E VINE ST, LODI, CA 95240-3179
(209) 331-7366
Mailing address
706 N DIAMOND BAR BLVD STE B, DIAMOND BAR, CA 91765-1059
(909) 396-8900
(909) 396-9900
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP35945
CA
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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