Provider Demographics
NPI:1437920154
Name:KLEYMANN, KASSANDRA F (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KASSANDRA
Middle Name:F
Last Name:KLEYMANN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 PANTHER WAY
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80863-3165
Mailing Address - Country:US
Mailing Address - Phone:785-650-9738
Mailing Address - Fax:
Practice Address - Street 1:155 PANTHER WAY
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:CO
Practice Address - Zip Code:80863-3165
Practice Address - Country:US
Practice Address - Phone:785-650-9738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO24371347235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist