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NPI Code Detail

MEDICARE: CAITLYN KIRALY

MEDICARE: CAITLYN KIRALY
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
12255A2300XAthletic Trainer
2390200000XStudent in an Organized Health Care Education/Training Program
31041C0700XClinical Social Worker99756CA

General Provider Information

NPI Number : 1891189510
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLYN KIRALY
Provider Business Mailing Address
First Line : 2851 CAMINO DEL RIO S STE 300
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-3814
Country : US
Telephone Number : 760-500-3325
Fax Number :
Provider Business Practice Location Address
First Line : 2851 CAMINO DEL RIO S STE 300
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-3814
Country : US
Telephone Number : 760-500-3325
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2015
Last Update Date : 01/04/2023

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1720556723 — CHRISTOPHER J THOMAS MA, LMFT 105670
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Directions to “ CAITLYN KIRALY ” Practice Location

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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.

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