Individual
JENNIFER DILALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CF-SLP
Contact information
Practice address
320 JEWEL HAVEN WAY, KNIGHTDALE, NC 27545-7255
(314) 885-4812
Mailing address
320 JEWEL HAVEN WAY, KNIGHTDALE, NC 27545-7255
(314) 885-4812
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
120484
TX
235Z00000X
Speech-Language Pathologist
Primary
30001312
NC
235Z00000X
Speech-Language Pathologist
SA21655
FL
Other
Enumeration date
04/03/2020
Last updated
12/26/2024
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