Provider Demographics
NPI:1053344622
Name:SPILAR, KATHLEEN T (MA)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:T
Last Name:SPILAR
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29001 CEDAR RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:LYNDHURST
Mailing Address - State:OH
Mailing Address - Zip Code:44124-4062
Mailing Address - Country:US
Mailing Address - Phone:440-684-9970
Mailing Address - Fax:440-684-9971
Practice Address - Street 1:29001 CEDAR RD
Practice Address - Street 2:SUITE 203
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124-4062
Practice Address - Country:US
Practice Address - Phone:440-684-9970
Practice Address - Fax:440-684-9971
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA-0539231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist