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Individual

JAYA LALITHA MALLELA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
535 CLARK HALL, COLUMBIA, MO 65211-4423
(856) 840-5058
Mailing address
2303 WHITEGATE DR APT 3A, COLUMBIA, MO 65202-2330
(856) 840-5058

Taxonomy

Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary

Other

Enumeration date
07/20/2026
Last updated
07/20/2026
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