MEDICARE: KAITLIN HELLMANN

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	112187	TX

General Provider Information

NPI Number	:	1134655400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAITLIN HELLMANN

Provider Business Mailing Address
First Line	:	1865 SUMMIT AVE UNIT 105
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75206-7432
Country	:	US
Telephone Number	:	562-308-0013
Fax Number	:

Provider Business Practice Location Address
First Line	:	9229 CHISWELL RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75238-2513
Country	:	US
Telephone Number	:	469-593-2700
Fax Number	:

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

Provider Enumeration Date	:	05/05/2017
Last Update Date	:	11/14/2022

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Directions to “ KAITLIN HELLMANN ” Practice Location

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