Kayleigh Izor
Individual provider Active NPI Speech-Language Pathologist · Bellbrook, OH
NPI 1417487554 · NPPES record last updated Sep 21, 2020
Key facts
- NPI
- 1417487554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- COND.20201562-SP (OH)
- Practice address
- 3757 Upper Bellbrook Rd
Bellbrook, OH 45305-8750 - Phone
- (937) 938-0493
- NPI assigned
- Jun 12, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COND.20201562-SP | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greene County Educational Service Center | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | COND.20201562-SP | OH | Yes |
Addresses
Primary practice location
3757 Upper Bellbrook Rd
Bellbrook, OH 45305-8750
Mailing address
360 E Enon Rd
Yellow Springs, OH 45387-1415
Phone (937) 767-1303
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All providers in Bellbrook, OH · Speech-Language Pathologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.