# KYLEE RAE DEAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1790331429
- **Gender:** F
- **Credential:** MA CCC-SLP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | SP.14007 | OH | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | COND.20191107-SP | OH | — |

## Other

- **Enumeration date:** 08/19/2019
- **Last updated:** 06/02/2021