Provider Demographics
NPI:1194734327
Name:KILAR, CAROLYN YANDURA (MA,CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:YANDURA
Last Name:KILAR
Suffix:
Gender:F
Credentials:MA,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2520 BREWSTER CT
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47404-1299
Mailing Address - Country:US
Mailing Address - Phone:812-340-9265
Mailing Address - Fax:812-876-5818
Practice Address - Street 1:2520 BREWSTER CT
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47404-1299
Practice Address - Country:US
Practice Address - Phone:812-340-9265
Practice Address - Fax:812-876-5818
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22002743A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist