Individual
KAYLA MARLISE HEINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
335 BRIGHTON AVE, PORTLAND, ME 04102-2363
(207) 775-4000
Mailing address
14 MARSHALL ST APT B, PORTLAND, ME 04102-3202
(845) 707-1894
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP2797
ME
Other
Enumeration date
07/05/2018
Last updated
10/30/2020
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