Provider Demographics
NPI:1881464600
Name:LEPHART, KAYLINN (SLP)
Entity type:Individual
Prefix:
First Name:KAYLINN
Middle Name:
Last Name:LEPHART
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 S HEATH RD APT 2222
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93314-4837
Mailing Address - Country:US
Mailing Address - Phone:661-703-1333
Mailing Address - Fax:
Practice Address - Street 1:6705 TOPAZ LN
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-6617
Practice Address - Country:US
Practice Address - Phone:661-546-1870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8266235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist