Provider Demographics
NPI:1073179073
Name:REED-BAUM, KAYLA DAWN (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:DAWN
Last Name:REED-BAUM
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 ROCK RD
Mailing Address - Street 2:
Mailing Address - City:EATON
Mailing Address - State:CO
Mailing Address - Zip Code:80615-8833
Mailing Address - Country:US
Mailing Address - Phone:775-781-4672
Mailing Address - Fax:
Practice Address - Street 1:710 3RD ST
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-5484
Practice Address - Country:US
Practice Address - Phone:970-686-7474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-15
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist