Individual
KAYLA PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3607 HEIRLOOM DR, BLOOMINGTON, IN 47401-5491
(812) 336-2718
Mailing address
4449 MCCOY RD, BETHALTO, IL 62010-2513
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146014178
IL
235Z00000X
Speech-Language Pathologist
22007059A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14179174
ASHA
—
01
—
22007059A
IN STATE
IN
Enumeration date
01/17/2021
Last updated
05/15/2022
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