Individual
KAYLA HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
613 S KNIK GOOSE BAY RD STE B, WASILLA, AK 99654-8090
(888) 698-9881
Mailing address
7362 W PARKS HWY # 496, WASILLA, AK 99623-9300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
113049
AK
235Z00000X
Speech-Language Pathologist
LL60619096
WA
Other
Enumeration date
12/15/2015
Last updated
02/18/2022
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