Doctor Name: | KAITLYN J SANTILLANA |
NPI Number: | 1558608596 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | 12153163 |
Business Practice Address: | 656 Dillon Way Aurora, CO - 800116803 |
Business Phone Number: | 3033440636 |
Business Fax Number: | |
Mailing Address: | 10075 Park Meadows Dr, Apt. 75111 LONETREE |
State: | CO |
Postal Code: | 801246778 |
Phone Number: | 9045017492 |
Fax Number: | |
NPI Enumeration Date: | 01/10/2013 |
NPI Last Update Date: | 01/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12153163 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |