Organization
LITTLE LOON PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA HEAD M.S., CCC-SLP (OWNER/SPEECH-LANGUAGE PATHOLOGIST)
(360) 608-2002
Entity
Organization
Contact information
Practice address
501 N KNIK ST, WASILLA, AK 99654-7050
(907) 215-3105
(907) 215-3385
Mailing address
7362 W PARKS HWY # 496, WASILLA, AK 99623-9300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/20/2021
Last updated
02/18/2022
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