Dorn, Kathleen Cecilia

Dorn, Kathleen Cecilia is an individual health care provider with primary practice located at 4077 N Chinook Ln , Ormond Beach FL 32174-9326. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Dorn, Kathleen Cecilia can be contacted via phone (386) 793-8120.

Contact Information

Primary practice address
4077 N Chinook Ln Ormond Beach FL 32174-9326
Phone: (386) 793-8120
Fax: (386) 672-3929
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA9485 Florida

Profile Details

NPI number 1518113356
LBN Legal business name Dorn, Kathleen Cecilia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2008
Last updated Aug 12th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518113356 NPPES
Florida Other SA9485 STATE LICENSE

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