Provider Demographics
NPI:1164795274
Name:KAYSER, HORTENCIA GARCIA (PHD CCC-SLP)
Entity Type:Individual
Prefix:DR
First Name:HORTENCIA
Middle Name:GARCIA
Last Name:KAYSER
Suffix:
Gender:F
Credentials:PHD CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4027 S WARMWATER AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-8400
Mailing Address - Country:US
Mailing Address - Phone:417-860-1604
Mailing Address - Fax:
Practice Address - Street 1:4027 S WARMWATER AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-8400
Practice Address - Country:US
Practice Address - Phone:417-860-1604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-21
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002028067235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist