Provider Demographics
NPI:1144940511
Name:MILLER, KAYLA K (MS, SLP-CCC)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:K
Last Name:MILLER
Suffix:
Gender:F
Credentials:MS, SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 PACIFIC AVE
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-8864
Mailing Address - Country:US
Mailing Address - Phone:214-505-8537
Mailing Address - Fax:
Practice Address - Street 1:470 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-1779
Practice Address - Country:US
Practice Address - Phone:972-923-4740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106528235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist