Provider Demographics
NPI:1386086676
Name:CRAFFEY, KAITLIN MARIE (MS CCC-SLP)
Entity type:Individual
Prefix:MISS
First Name:KAITLIN
Middle Name:MARIE
Last Name:CRAFFEY
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 DYKE BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-1553
Mailing Address - Country:US
Mailing Address - Phone:412-337-4745
Mailing Address - Fax:
Practice Address - Street 1:107 DYKE BRANCH RD
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-1553
Practice Address - Country:US
Practice Address - Phone:412-337-4745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-27
Last Update Date:2013-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE01-0001300235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist