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NPI Code Detail

MEDICARE: CARA LANCELLOTTI CCC-SLP

MEDICARE:   CARA  LANCELLOTTI  CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSLP9076AZ

General Provider Information

NPI Number : 1538783477
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARA LANCELLOTTI CCC-SLP
Provider Business Mailing Address
First Line : 9155 N 3RD ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85020-2410
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9155 N 3RD ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85020-2410
Country : US
Telephone Number : 602-218-9483
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2020
Last Update Date : 07/14/2021

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Directions to “ CARA LANCELLOTTI CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.