Basic Information
| Provider Information | |||||||||
| NPI: | 1033266564 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CALA | ||||||||
| FirstName: | ERIK | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | M.A., CCC-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO DRAWER PH | ||||||||
| Address2: | |||||||||
| City: | CHINLE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 865030277 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9286747223 | ||||||||
| FaxNumber: | 9286747559 | ||||||||
| Practice Location | |||||||||
| Address1: | HWY 191 HOSPITAL ROAD | ||||||||
| Address2: | |||||||||
| City: | CHINLE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 865030277 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9286747223 | ||||||||
| FaxNumber: | 9286747559 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/05/2007 | ||||||||
| LastUpdateDate: | 03/04/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 2897 | NM | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.