MATTHEW CHARLES LALLY


Address: 4110 W Sweetwater Dr, Tucson, AZ 85745-9348
Phone: 5207430411

MATTHEW CHARLES LALLY (NPI# 1750614467) 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) 1750614467
Entity Type Individual
Full Name MATTHEW CHARLES LALLY
Credential M.D.
Practice Address 4110 W Sweetwater Dr
Tucson
AZ 85745-9348
Practice Telephone 5207430411
Mailing Telephone 5207430411
Enumeration Date 2009-09-13
Last Update Date 2009-09-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084A0401X Psychiatry & Neurology
Specialization: Addiction Medicine
31926 AZ Allopathic & Osteopathic Physicians
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
31926 AZ Allopathic & Osteopathic Physicians

Other Providers MATTHEW LALLY

NPI Name Taxonomy Address Enumeration
1437417177 Matthew Lally Emergency Medicine 800 Rose St, Lexington, KY 40536-0001 2012-05-01

Office Location

Street Address 4110 W SWEETWATER DR
City TUCSON
State AZ
Zip Code 85745-9348

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861592826 Gail N Shultz Family Medicine 4110 W Sweetwater Dr, Tucson, AZ 85745-9348 2006-09-22
1518588128 Charlotte Elizabeth Holst Reilley Counselor 4110 W Sweetwater Dr, Tucson, AZ 85745-9348 2020-05-05
1407363195 Summit Bhc Tuscon LLC Substance Abuse Rehabilitation Facility 4110 W Sweetwater Dr, Tucson, AZ 85745-9348 2018-01-04
1487180998 Cottonwood De Tucson, Inc. Substance Abuse Rehabilitation Facility 4110 W Sweetwater Dr, Tucson, AZ 85745-9348 2017-05-03
1003010653 Jim Seymour Psychiatry & Neurology 4110 W Sweetwater Dr, Tucson, AZ 85745-9348 2007-06-14
1174666564 Tab Wayne Hoyt Nurse Practitioner 4110 W Sweetwater Dr, Tucson, AZ 85745-9348 2007-02-15
1407904105 Cottonwood De Tucson Inc Pharmacy 4110 W Sweetwater Dr, Tucson, AZ 85745-9348 2007-01-08
1902974934 Cottonwood De Tucson, Inc Psychiatric Hospital 4110 W Sweetwater Dr, Bldg 1400, Tucson, AZ 85745-9348 2006-11-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629540679 El Rio Santa Cruz Neighborhood Health Center Inc Pharmacy 839 W Congress, Tucson, AZ 85745 2018-12-31
1194230672 Pascua Yaqui Tribe Community/Behavioral Health 1701 W. St. Mary's Road, Suite 120, Tucson, AZ 85745 2017-12-06
1891207106 Intermountain Health Center, Inc. Community/Behavioral Health 1100 W. Fresno Street, Tucson, AZ 85745 2017-10-26
1497270664 Skin Concierge, LLC. Dermatology 1310 W. St. Mary's Road, 2nd Floor, Suite A, Tucson, AZ 85745 2017-08-09
1801334941 Katie Flores Physical Therapist 1604 W St Mary's Rd, Tucson, AZ 85745 2017-02-09
1558717348 Jeongfill Yun Student in an Organized Health Care Education/Training Program 8290 W Congress St., Tucson, AZ 85745 2016-05-11
1417317082 Nebsource LLC Durable Medical Equipment & Medical Supplies 4890 W Camino De La Amapola, Tucson, AZ 85745 2016-02-25
1548661358 Melinda Godoy Pharmacist 879 W Congress, Tucson, AZ 85745 2014-09-11
1811333925 Asdb Clinic/Center 1200 West Speedway, Tucson, AZ 85745 2013-05-15
1669722385 David L. Lewis Counselor 1779 W. St. Mary's Rd, Tucson, AZ 85745 2012-09-11
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619164829 Alfredo C. Ramirez, Md Pllc Psychiatry & Neurology 8684 E Semple Street, Tucson, AZ 85747 2007-10-02
1831257229 Gary Gerhard Hellmann Psychiatry & Neurology 6890 E Sunrise Dr Pmb 202, #120, Tucson, AZ 85750-0738 2006-12-05
1902911373 Damian R Parkinson Psychiatry & Neurology 430 N Tucson Blvd, Tucson, AZ 85716-4745 2006-08-19
1639283070 Everett Joaquin Rogers Psychiatry & Neurology 350 N. Wilmot Road, St Josephs Hospital O'rielly Care Center, Tucson, AZ 85711 2006-08-19
1649289190 Carrie K Freedheim Psychiatry & Neurology 6375e Tanque Verde Rd 140, Tucson, AZ 85715-3863 2006-08-05
1023045879 John L Schorsch Psychiatry & Neurology 6862 E Tawa St, Tucson, AZ 85715-3345 2006-06-27
1841281060 John Sylvain Leipsic Jr. Psychiatry & Neurology 2695 N Craycroft Rd, Tucson, AZ 85712-2243 2005-11-04
1467456707 Veeraiah C Karumanchi Psychiatry & Neurology 502 W. 29th Street, Tucson, AZ 85713 2005-06-01
1992945455 Damian Parkinson Md Psychiatry & Neurology 430 N Tucson Blvd, Tucson, AZ 85716-4745 2009-02-24
1831373901 Noshene Elaine Ranjbar Psychiatry & Neurology 2800 E Ajo Way, Tucson, AZ 85713-6204 2007-12-24
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Competitor

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City TUCSON
Zip Code 85745

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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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