Individual
MRS. CAITLIN MARIE LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
7540 N 19TH AVE STE 200, PHOENIX, AZ 85021-7967
(602) 324-6500
Mailing address
48 WHIPPOORWILL LN, SPARTA, NJ 07871-1332
(201) 401-8925
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00738400
NJ
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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