Doctor Name: | KAYLA MARIE WEST |
NPI Number: | 1811233976 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SP#3307 |
Business Practice Address: | 615 Canal Ave E Wynne, AR - 723963003 |
Business Phone Number: | 8705881997 |
Business Fax Number: | 8702088139 |
Mailing Address: | 3349 Highway 364, WYNNE |
State: | AR |
Postal Code: | 723968540 |
Phone Number: | 8705887781 |
Fax Number: | 8702088139 |
NPI Enumeration Date: | 12/18/2012 |
NPI Last Update Date: | 09/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP#3307 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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 |