Provider Demographics
NPI:1124748116
Name:LAMMERS, KAITLYN MARIE (MS)
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:MARIE
Last Name:LAMMERS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2023 SUNSET BLVD
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-1349
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14890 OH-213
Practice Address - Street 2:
Practice Address - City:HAMMONDSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43930
Practice Address - Country:US
Practice Address - Phone:330-532-1594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-30
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOND.20222070-SP235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist