Individual
KAYLA ANN SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
410 NEW BRIDGE ST, JACKSONVILLE, NC 28540-4739
(850) 994-3456
Mailing address
160 TWINING ROSE LN, HOLLY RIDGE, NC 28445
(501) 912-1480
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
113566
TX
235Z00000X
Speech-Language Pathologist
Primary
12800
NC
235Z00000X
Speech-Language Pathologist
SZ7608
FL
Other
Enumeration date
06/23/2016
Last updated
02/21/2018
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