Individual
KAYLEE HOMSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
63 E MAIN ST, #101, MESA, AZ 85201-7417
(480) 472-4700
Mailing address
63 E MAIN ST, #101, MESA, AZ 85201-7422
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP7842
AZ
235Z00000X
Speech-Language Pathologist
TSLP7842
AZ
Other
Enumeration date
08/08/2012
Last updated
03/29/2025
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