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NPI Code Detail

MEDICARE: MRS. KAITLYN RICHMOND FARLEY CCC-SLP

MEDICARE: MRS. KAITLYN RICHMOND FARLEY CCC-SLP
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
1235Z00000XSpeech-Language PathologistSA22388FL
22355S0801XSpeech-Language Assistant4388FL

General Provider Information

NPI Number : 1770228934
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KAITLYN RICHMOND FARLEY CCC-SLP
Provider Business Mailing Address
First Line : 668 MURPHY RD
Second Line :
City : WINTER SPRINGS
State : FL
Zip : 32708-3486
Country : US
Telephone Number : 772-473-0360
Fax Number :
Provider Business Practice Location Address
First Line : 5165 ADANSON ST
Second Line :
City : ORLANDO
State : FL
Zip : 32804-1331
Country : US
Telephone Number : 352-394-0212
Fax Number : 352-241-6361
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2022
Last Update Date : 03/22/2024

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Directions to “ MRS. KAITLYN RICHMOND FARLEY CCC-SLP” Practice Location

Language Start Address Practice Location
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