Provider Demographics
NPI:1659957728
Name:ARSHAD, KAYLA KRISTINE (MS CCC-SLP, TSSLD)
Entity Type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:KRISTINE
Last Name:ARSHAD
Suffix:
Gender:F
Credentials:MS CCC-SLP, TSSLD
Other - Prefix:MISS
Other - First Name:KAYLA
Other - Middle Name:KRISTINE
Other - Last Name:CEMPA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP, TSSLD
Mailing Address - Street 1:3119 37TH ST APT 4B
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-5187
Mailing Address - Country:US
Mailing Address - Phone:718-708-9884
Mailing Address - Fax:
Practice Address - Street 1:3155 PHONETIA DR
Practice Address - Street 2:
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32738-9422
Practice Address - Country:US
Practice Address - Phone:386-575-4103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-19
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033152-01235Z00000X
FLSA21850235Z00000X
235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist