Kaleidoscope Pediatric Speech Therapy Specialists, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22002743A Issued in IN

Legal business name

KALEIDOSCOPE PEDIATRIC SPEECH THERAPY SPECIALISTS, LLC

Practice address

2536 W Industrial Park Dr
Suite 7
Bloomington, IN 47404-2635

Phone

(812) 340-0265

NPI assigned

Apr 29, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Carolyn Yandura Kilar, M.A.,CCC-SLP

Title

Speech-Language Pathologist

Phone

(812) 340-0265

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1790950855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2536 W INDUSTRIAL PARK DR",
            "address_2": "SUITE 7",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474042635",
            "telephone_number": "812-340-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2536 W INDUSTRIAL PARK DR",
            "address_2": "SUITE 7",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474042635",
            "telephone_number": "812-340-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALEIDOSCOPE PEDIATRIC SPEECH THERAPY SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "KILAR",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "YANDURA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "812-340-0265",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A.,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22002743A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.