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NPI Code Detail

MEDICARE: KAITLIN ANN PARKER SLP-CC

MEDICARE: KAITLIN ANN PARKER SLP-CC
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 Pathologist019249-1NY

General Provider Information

NPI Number : 1538602602
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLIN ANN PARKER SLP-CC
Provider Business Mailing Address
First Line : 18 BEAVER ST
Second Line : 3RD FLOOR
City : BROOKLYN
State : NY
Zip : 11206-4504
Country : US
Telephone Number : 718-443-9402
Fax Number :
Provider Business Practice Location Address
First Line : 18 BEAVER ST
Second Line : 3RD FLOOR
City : BROOKLYN
State : NY
Zip : 11206-4504
Country : US
Telephone Number : 718-443-9402
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2016
Last Update Date : 11/22/2016

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Directions to “ KAITLIN ANN PARKER SLP-CC” Practice Location

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