Provider Demographics
NPI:1922498039
Name:HARBER, KAYLA (MS CF-SLP)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:HARBER
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14679 MIDWAY RD
Mailing Address - Street 2:STE. 222
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-3168
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14679 MIDWAY RD
Practice Address - Street 2:STE. 222
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-3168
Practice Address - Country:US
Practice Address - Phone:214-902-0996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-27
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111006235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist