Individual
KAYLA MARIE ALTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
705 CLEARVIEW DR, VINTON, VA 24179-3605
(540) 982-6691
Mailing address
6005 FARMHOUSE CT, ROANOKE, VA 24019-7457
(540) 494-5405
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
14362519
—
235Z00000X
Speech-Language Pathologist
18423
OR
235Z00000X
Speech-Language Pathologist
2202011360
VA
235Z00000X
Speech-Language Pathologist
Primary
40418
CA
Other
Enumeration date
07/03/2024
Last updated
01/02/2026
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