Provider Demographics
NPI:1780189449
Name:DOANE, KAYLA DANIELLE (SLP-CCC)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:DANIELLE
Last Name:DOANE
Suffix:
Gender:F
Credentials:SLP-CCC
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:DANIELLE
Other - Last Name:DOANE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:308 JAVA WAY
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-5740
Mailing Address - Country:US
Mailing Address - Phone:276-970-4860
Mailing Address - Fax:
Practice Address - Street 1:1025 CHILDRENS WAY
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-7713
Practice Address - Country:US
Practice Address - Phone:276-970-4860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-26
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000006376235Z00000X
TN6376235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist