Provider Demographics
NPI:1922675669
Name:STEED, KAYLA SHELTON (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:SHELTON
Last Name:STEED
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 N WEBB ST
Mailing Address - Street 2:
Mailing Address - City:SELMA
Mailing Address - State:NC
Mailing Address - Zip Code:27576-2841
Mailing Address - Country:US
Mailing Address - Phone:919-938-9088
Mailing Address - Fax:
Practice Address - Street 1:208 N WEBB ST
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:NC
Practice Address - Zip Code:27576-2841
Practice Address - Country:US
Practice Address - Phone:919-938-9088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-10
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12341115-4104235Z00000X
NC30003585235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT12341115-4104Medicaid