Provider Demographics
NPI:1477002376
Name:HIRSCHMUGL, KAYLA JOY (AUD)
Entity Type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:JOY
Last Name:HIRSCHMUGL
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:KAYLA
Other - Middle Name:JOY
Other - Last Name:HIRSCHMUGL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:100 N MARIO CAPECCHI DR
Mailing Address - Street 2:SUITE 4400
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84113-1103
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 N MARIO CAPECCHI DR
Practice Address - Street 2:SUITE 4400
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84113-1103
Practice Address - Country:US
Practice Address - Phone:801-662-3277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-03
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9831204-4101231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist