Individual
MS. KAITLIN CONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.CCC-SLP
Contact information
Practice address
16401 DELAWARE AVE, LAKEWOOD, OH 44107-5527
(216) 529-4228
Mailing address
16401 DELAWARE AVE, LAKEWOOD, OH 44107-5527
(216) 529-4228
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.9888
OH
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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