Healthcare Provider Details

I. General information

NPI: 1871134908
Provider Name (Legal Business Name): KAIRA LYNN IONESCU CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAIRA LYNN CLAPPER CCC-SLP

II. Dates (important events)

Enumeration Date: 09/30/2019
Last Update Date: 09/28/2021
Certification Date: 09/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5020 GODDARD AVE
ORLANDO FL
32804-1177
US

IV. Provider business mailing address

503 ERICA WAY
WINTER SPRINGS FL
32708-2030
US

V. Phone/Fax

Practice location:
  • Phone: 407-299-1533
  • Fax:
Mailing address:
  • Phone: 239-898-3200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA17221
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: