Provider Demographics
NPI:1750636759
Name:CARRINGTON, KAYLEIGH (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:KAYLEIGH
Middle Name:
Last Name:CARRINGTON
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:935 MILITARY TRL
Mailing Address - Street 2:SUITE 102
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-7007
Mailing Address - Country:US
Mailing Address - Phone:561-748-5430
Mailing Address - Fax:561-748-5442
Practice Address - Street 1:935 MILITARY TRL
Practice Address - Street 2:SUITE 102
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7007
Practice Address - Country:US
Practice Address - Phone:561-748-5430
Practice Address - Fax:561-748-5442
Is Sole Proprietor?:No
Enumeration Date:2012-07-17
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8591235Z00000X
FLSA12594235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist