Individual
CARLA DALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
104 MAJESTIC DR, DIX HILLS, NY 11746-4935
(631) 499-5404
Mailing address
419 4TH ST, EAST NORTHPORT, NY 11731-2932
(631) 486-3004
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
008722-1
NY
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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