Provider Demographics
NPI:1699024646
Name:KYRIAKOU, KYRIAKI
Entity Type:Individual
Prefix:DR
First Name:KYRIAKI
Middle Name:
Last Name:KYRIAKOU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3747 KANAWHA ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20015-1838
Mailing Address - Country:US
Mailing Address - Phone:202-290-1197
Mailing Address - Fax:
Practice Address - Street 1:800 FLORIDA AVE NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-3600
Practice Address - Country:US
Practice Address - Phone:202-651-5328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-06
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCSLP000567235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist