Provider Demographics
NPI:1396812442
Name:WELCH & MCLOY PEDIATRIC CLINIC, INC.
Entity type:Organization
Organization Name:WELCH & MCLOY PEDIATRIC CLINIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:MCLOY
Authorized Official - Suffix:
Authorized Official - Credentials:MS,CCC-SLP,L
Authorized Official - Phone:727-848-6747
Mailing Address - Street 1:PO BOX 1502
Mailing Address - Street 2:6646 US HWY 19
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34656-1502
Mailing Address - Country:US
Mailing Address - Phone:727-848-6747
Mailing Address - Fax:727-847-3107
Practice Address - Street 1:38051 PASCO AVE
Practice Address - Street 2:
Practice Address - City:DADE CITY
Practice Address - State:FL
Practice Address - Zip Code:33525-4234
Practice Address - Country:US
Practice Address - Phone:727-848-6747
Practice Address - Fax:727-847-3107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
Not Answered225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty