Provider Demographics
NPI:1134656176
Name:UMBARGER, KAYLA PEACE (AUD)
Entity type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:PEACE
Last Name:UMBARGER
Suffix:
Gender:
Credentials:AUD
Other - Prefix:DR
Other - First Name:KAYLA
Other - Middle Name:
Other - Last Name:PEACE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1139 NIKKI VIEW DR
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-4879
Mailing Address - Country:US
Mailing Address - Phone:813-879-8045
Mailing Address - Fax:813-685-2477
Practice Address - Street 1:1139 NIKKI VIEW DR
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-4879
Practice Address - Country:US
Practice Address - Phone:813-879-8045
Practice Address - Fax:813-685-2477
Is Sole Proprietor?:No
Enumeration Date:2017-05-22
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY2110231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist