Provider Demographics
NPI:1073955720
Name:SAFRIET, KAYLIN CARSWELL (MSCCC/SLP)
Entity Type:Individual
Prefix:
First Name:KAYLIN
Middle Name:CARSWELL
Last Name:SAFRIET
Suffix:
Gender:F
Credentials:MSCCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 DEAL MILL RD
Mailing Address - Street 2:
Mailing Address - City:GRANITE FALLS
Mailing Address - State:NC
Mailing Address - Zip Code:28630-7535
Mailing Address - Country:US
Mailing Address - Phone:828-292-1030
Mailing Address - Fax:
Practice Address - Street 1:4012 HICKORY BLVD
Practice Address - Street 2:
Practice Address - City:GRANITE FALLS
Practice Address - State:NC
Practice Address - Zip Code:28630-8372
Practice Address - Country:US
Practice Address - Phone:828-212-0256
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-23
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10482235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist