Provider Demographics
NPI:1912741893
Name:PALACIOS, KAITLYN KREIPE (SLP)
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:KREIPE
Last Name:PALACIOS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:KAITLYN
Other - Middle Name:
Other - Last Name:KREIPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:INTER SLP-CF
Mailing Address - Street 1:8961 TESORO DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-6209
Mailing Address - Country:US
Mailing Address - Phone:210-407-0000
Mailing Address - Fax:
Practice Address - Street 1:13333 BLANCO RD STE 310
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-7756
Practice Address - Country:US
Practice Address - Phone:210-479-5875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-24
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX122510235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist