NPI 1699130898 · live from the CMS NPI Registry
Kayla Head, M.S., CCC-SLP
Speech-Language Pathologist, in Wasilla, AK. National Provider Identifier 1699130898, active.
NPI record
| NPI | 1699130898 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 613 S Knik Goose Bay Rd Ste B, Wasilla, AK 99654 |
| Practice phone | 888-698-9881 |
| Mailing address | 7362 W Parks Hwy # 496, Wasilla, AK 99623 |
| Enumerated | December 15, 2015 |
| Last updated | February 18, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, | 235Z00000X | LL60619096 (WA) |
| Speech-Language Pathologist, primary | 235Z00000X | 113049 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.