Individual
KAYLA WEARNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
917 W CANFIELD AVENUE, COEUR D'ALENE, ID 83815
(208) 762-3502
(888) 310-4824
Mailing address
917 W CANFIELD AVENUE, COEUR D'ANE, ID 83815
(208) 762-3502
(888) 310-4810
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2894
ID
Other
Enumeration date
02/01/2016
Last updated
10/26/2016
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