Provider Demographics
NPI:1669928099
Name:KANDEL, KARA LYN (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KARA
Middle Name:LYN
Last Name:KANDEL
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 GLAMORGAN ST
Mailing Address - Street 2:
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601-2946
Mailing Address - Country:US
Mailing Address - Phone:330-821-2100
Mailing Address - Fax:
Practice Address - Street 1:285 W OXFORD ST
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-2872
Practice Address - Country:US
Practice Address - Phone:330-829-2266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-26
Last Update Date:2018-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP. 11987235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist