JENNA NICOLE LALLY


Address: 1323 W Colton Ave, Redlands, CA 92374-4554
Phone: 9099787997

JENNA NICOLE LALLY (NPI# 1033621495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033621495
Entity Type Individual
Full Name JENNA NICOLE LALLY
Credential M.S., CCC-SLP
Practice Address 1323 W Colton Ave
Redlands
CA 92374-4554
Mailing Address 11852 Mount Vernon Ave Apt 312
Grand Terrace
CA 92313-8279
Practice Telephone 9099787997
Mailing Telephone 9098315778
Enumeration Date 2017-10-25
Last Update Date 2017-10-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 25911 CA Speech, Language and Hearing Service Providers

Office Location

Street Address 1323 W COLTON AVE
City REDLANDS
State CA
Zip Code 92374-4554

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770622961 John D Oconnell Genetic Counselor, MS 1323 W Colton Ave, Suite 100, Redlands, CA 92374-4554 2007-02-05
1780214593 Jacob Townsend Pulliam Speech-Language Pathologist 1323 W Colton Ave, Redlands, CA 92374-4554 2020-01-21
1114588811 Karla Coppin Occupational Therapist 1323 W Colton Ave, Redlands, CA 92374-4554 2019-06-24
1225696511 Michelle Lorraine Santiago Speech-Language Pathologist 1323 W Colton Ave, Redlands, CA 92374-4554 2019-05-31
1689176273 Jessica Mortensen Speech-Language Pathologist 1323 W Colton Ave, Redlands, CA 92374-4554 2018-02-28
1467865220 Green Harbour Pharmacy Inc Pharmacy 1323 W Colton Ave, Suite 120, Redlands, CA 92374-4554 2014-06-09
1043523830 Raquel Gonzalez Marriage & Family Therapist 1323 W Colton Ave, Suite 100, Redlands, CA 92374-4554 2010-07-21
1710209390 Lawanda Cheri Hall Counselor 1323 W Colton Ave, Suite 100, Redlands, CA 92374-4554 2010-02-23
1417180589 Kathryn M Miller Marriage & Family Therapist 1323 W Colton Ave, Suite 100, Redlands, CA 92374-4554 2009-08-24
1114159605 South Coast Children's Society, Inc Community/Behavioral Health 1323 W Colton Ave, Redlands, CA 92374-4554 2009-08-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053802652 V Rana Dds Inc Clinic/Center 1748 E Lugonia Ave Ste 126, Redlands, CA 92374 2018-05-21
1467979393 Brianna Ashley Torres Behavioral Analyst 1467 Stillman Ave, Redlands, CA 92374 2017-08-22
1851821953 Veronica Esqueda Social Worker 21 Crafton Ct, Redlands, CA 92374 2017-06-13
1053855783 Caroline Daravi Psychologist 1706 Plum Lane #110, Redland, CA 92374 2016-12-14
1487092722 Kathryn Wheeler Speech-Language Pathologist 112 Eleventh Street, Redlands, CA 92374 2013-06-10
1275979254 Lifecare Solutions Inc Durable Medical Equipment & Medical Supplies 1220 Research Dr, Redlands, CA 92374 2013-05-16
1639515125 Shantrice Nicole Burton Speech-Language Pathologist 1323 W Colton Ave Ste 105, Redlands, CA 92374 2013-05-11
1275898314 Hrishikesh C Gogineni Orthopaedic Surgery 1801 Orange Tree Ln Ste 200, Redlands, CA 92374 2012-07-04
1609168897 Mina Youssef Psychiatry & Neurology 26325 Snowden Ave, Redlands, CA 92374 2011-05-06
1902106545 Jerrold Edward Hammer Pharmacist 422 N Orange St., Redlands, CA 92374 2010-10-29
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154944387 Eric Elick Speech-Language Pathologist 1024 Lawton St, Redlands, CA 92374-3019 2020-05-21
1144854217 Devon Nicole Baumbach Speech-Language Pathologist 11 Tennessee St Apt 104, Redlands, CA 92373-5421 2020-02-27
1679105324 Roberta Michele Turner Speech-Language Pathologist 1240 Morrison Dr, Redlands, CA 92374-5482 2020-02-11
1730682816 Laura Christine Mee Speech-Language Pathologist 209 Judson St Apt C, Redlands, CA 92374-4076 2018-03-14
1689122418 Caitlin Mcculloch Speech-Language Pathologist 10421 Corporate Dr, Redlands, CA 92374-2838 2016-09-21
1689129959 Delaney Mabry Zugelder Speech-Language Pathologist 27000 W Lugonia Ave, Apt 8211, Redlands, CA 92374-2011 2016-08-16
1972056687 Christiana Smith Speech-Language Pathologist 326 S Center St, Redlands, CA 92373-5178 2016-07-28
1053763029 Danielle Kathleen Torrez Speech-Language Pathologist 1618 Maple Ave, Redlands, CA 92374-4922 2016-07-01
1447612866 Janet Rabinowitz Speech-Language Pathologist 1439 Henrietta St, Redlands, CA 92373-7029 2016-03-24
1316313737 Johanna Pulliam Speech-Language Pathologist 619 Harding Dr, Redlands, CA 92373-5729 2015-08-19
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Competitor

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City REDLANDS
Zip Code 92374

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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