Provider Demographics
NPI:1215797956
Name:LANGFORD, KADIE (MS)
Entity type:Individual
Prefix:
First Name:KADIE
Middle Name:
Last Name:LANGFORD
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 1:2103 W GRACE AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-3748
Mailing Address - Country:US
Mailing Address - Phone:509-570-4915
Mailing Address - Fax:
Practice Address - Street 1:1001 E MONTGOMERY AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-2674
Practice Address - Country:US
Practice Address - Phone:509-354-3458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist