Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dory R Kafoure, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1649033697

Dory R Kafoure, MA, CCC-SLP is a Qualified Speech Language Pathologist in San Diego, California. Qualified in 1977, 49 years ago. Practices with Stac Physical Therapy Pfi Inc, a 9-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
49
Licensed in
CA
In the registry since
2024
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

18153 Sun Maiden Ct
San Diego, CA 92127-3102
Phone: (858) 722-4127
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 17582 (CA)

Record details

NPI number1649033697
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorYes
NPI enumeratedFebruary 2, 2024
Last updated in NPPESFebruary 2, 2024
Certification dateFebruary 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Group practice Stac Physical Therapy Pfi Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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