Individual
CAYLEE GRAY PALMISANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1932 14TH ST, SANTA MONICA, CA 90404-4605
(310) 344-2276
Mailing address
1703 PENMAR AVE APT 1, VENICE, CA 90291-2968
(818) 579-3466
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17291
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17291
RPE LICENSE
CA
Enumeration date
10/17/2022
Last updated
10/17/2022
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