Provider Demographics
NPI:1013932557
Name:SOLOW, LAWRENCE J (PHD)
Entity type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:J
Last Name:SOLOW
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 PARK ROW
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-2407
Mailing Address - Country:US
Mailing Address - Phone:831-422-4427
Mailing Address - Fax:831-758-2363
Practice Address - Street 1:920 PARK ROW
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2407
Practice Address - Country:US
Practice Address - Phone:831-422-4427
Practice Address - Fax:831-758-2363
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU278237600000X, 231H00000X
CAHA11470231HA2500X, 235500000X, 2355A2700X, 2355S0801X, 235Z00000X, 237600000X, 237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Not Answered231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier
Not Answered235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist
Not Answered2355A2700XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistAudiology Assistant
Not Answered2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Not Answered237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1013932557Medicaid
CA1013932557Medicaid
CAHA0011470Medicaid