Provider Demographics
NPI:1023726221
Name:KALYVIOTI, AIKATERINI (CCC-SLP)
Entity type:Individual
Prefix:
First Name:AIKATERINI
Middle Name:
Last Name:KALYVIOTI
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 1:350 E CALIFORNIA BLVD APT 108
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-3650
Mailing Address - Country:US
Mailing Address - Phone:626-381-8292
Mailing Address - Fax:
Practice Address - Street 1:350 E CALIFORNIA BLVD APT 108
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-3650
Practice Address - Country:US
Practice Address - Phone:626-381-8292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22736235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist