Provider Demographics
NPI:1902237688
Name:SANDERS, KAYLA THERESA (AUD)
Entity Type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:THERESA
Last Name:SANDERS
Suffix:
Gender:F
Credentials:AUD
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Mailing Address - Street 1:9200 W WISCONSIN AVE
Mailing Address - Street 2:3RD FLOOR AUDIOLOGY CLINIC
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-3522
Mailing Address - Country:US
Mailing Address - Phone:414-805-5680
Mailing Address - Fax:414-476-4701
Practice Address - Street 1:9200 W WISCONSIN AVE
Practice Address - Street 2:3RD FLOOR AUDIOLOGY CLINIC
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-3522
Practice Address - Country:US
Practice Address - Phone:414-805-5680
Practice Address - Fax:414-476-4701
Is Sole Proprietor?:No
Enumeration Date:2013-12-06
Last Update Date:2015-10-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI587-156231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist