Provider Demographics
NPI:1407212186
Name:MROZINSKI, KAILA LYNNE (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KAILA
Middle Name:LYNNE
Last Name:MROZINSKI
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:KAILA
Other - Middle Name:LYNNE
Other - Last Name:TROMBLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CF/SLP
Mailing Address - Street 1:1306 SW SUMMIT WOODS DR
Mailing Address - Street 2:APT 1
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66615-1439
Mailing Address - Country:US
Mailing Address - Phone:989-780-3221
Mailing Address - Fax:
Practice Address - Street 1:104 S WASHINGTON ST.
Practice Address - Street 2:
Practice Address - City:JUNCTION CITY
Practice Address - State:KS
Practice Address - Zip Code:66441
Practice Address - Country:US
Practice Address - Phone:785-238-3747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-11
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3870235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist