Provider Demographics
NPI:1871134908
Name:IONESCU, KAIRA LYNN (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KAIRA
Middle Name:LYNN
Last Name:IONESCU
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:MS
Other - First Name:KAIRA
Other - Middle Name:LYNN
Other - Last Name:CLAPPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:503 ERICA WAY
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-2030
Mailing Address - Country:US
Mailing Address - Phone:239-898-3200
Mailing Address - Fax:
Practice Address - Street 1:5020 GODDARD AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-1177
Practice Address - Country:US
Practice Address - Phone:407-299-1533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-30
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA17221235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist