CAITLYN AIMAA FARDELLA LAC - NPI 1376392415 - Counselor in Manalapan, NJ

Q: What is Caitlyn Fardella's NPI number?

The NPI number for Caitlyn Fardella is 1376392415. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Q: What is Caitlyn Fardella's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Caitlyn Fardella was last updated on May 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Caitlyn Aimaa Fardella Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAITLYN AIMAA FARDELLA LAC (NPI 1376392415) is an individual mental health provider in Manalapan, New Jersey, licensed in New Jersey (37AC00686700) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1376392415

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameCAITLYN AIMAA FARDELLACredential: LAC

Location Address100 CRAIG RD STE 220Manalapan, NJ 07726-8731

Mailing Address277 Sunset AveOld Bridge, NJ 08857-1128 · (732) 616-1650

Phone(732) 913-0033

Sole ProprietorYes

Enumeration DateMay 13, 2024

NPPES CertifiedMay 13, 2024

✔ NPI 1376392415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NJ · 37AC00686700

100 CRAIG RD STE 220, Manalapan, NJ 07726

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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN ROSE GARRITY LAC

Counselor (Mental Health)