Provider Demographics
NPI:1730361817
Name:HAYWOOD, KARA A (SPEECH THERAPY)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:A
Last Name:HAYWOOD
Suffix:
Gender:F
Credentials:SPEECH THERAPY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4909 WATERS EDGE DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27606-2849
Mailing Address - Country:US
Mailing Address - Phone:919-285-1647
Mailing Address - Fax:919-576-1366
Practice Address - Street 1:4909 WATERS EDGE DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27606-2849
Practice Address - Country:US
Practice Address - Phone:919-285-1647
Practice Address - Fax:919-576-1366
Is Sole Proprietor?:No
Enumeration Date:2007-11-30
Last Update Date:2025-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5564235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7411754Medicaid