Provider Demographics
NPI:1366827131
Name:GOLLIHER, KAYLA (AUD)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:GOLLIHER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 EL MONTE BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-1246
Mailing Address - Country:US
Mailing Address - Phone:432-290-0551
Mailing Address - Fax:210-615-6814
Practice Address - Street 1:142 EL MONTE BLVD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-1246
Practice Address - Country:US
Practice Address - Phone:432-290-0551
Practice Address - Fax:210-615-6814
Is Sole Proprietor?:No
Enumeration Date:2015-07-22
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80787231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist