MEDICARE: KAITLIN CARLIER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	COND.20211746-SP	OH

General Provider Information

NPI Number	:	1245906379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAITLIN CARLIER

Provider Business Mailing Address
First Line	:	769 ROMBACH AVE
Second Line	:
City	:	WILMINGTON
State	:	OH
Zip	:	45177-1999
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	769 ROMBACH AVE
Second Line	:
City	:	WILMINGTON
State	:	OH
Zip	:	45177-1999
Country	:	US
Telephone Number	:	937-382-2443
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2021
Last Update Date	:	12/03/2025

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Directions to “ KAITLIN CARLIER ” Practice Location

Language	Start Address	Practice Location

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