Doctor Name: | KAYLA HAYDEN |
NPI Number: | 1083061758 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SLP.0002378 |
Business Practice Address: | 5535 S. Williamson Blvd Suite 774 Port Orange, FL - 32128 |
Business Phone Number: | 8003307711 |
Business Fax Number: | |
Mailing Address: | 5535 W. Williamson Blvd, Suite 774 PORT ORANGE |
State: | FL |
Postal Code: | 32128 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/23/2016 |
NPI Last Update Date: | 05/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP.0002378 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |