Provider Demographics
NPI:1174912281
Name:MCCAY, CALAH GABRIELLE
Entity type:Individual
Prefix:
First Name:CALAH
Middle Name:GABRIELLE
Last Name:MCCAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4024 LAKE UNDERHILL RD APT F
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-7057
Mailing Address - Country:US
Mailing Address - Phone:941-539-8931
Mailing Address - Fax:
Practice Address - Street 1:923 LARSON DR
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-2036
Practice Address - Country:US
Practice Address - Phone:404-252-4651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-13
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist