Provider Demographics
NPI:1902584840
Name:BARROW, KAYLA ANN (MS CF-SLP)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:ANN
Last Name:BARROW
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 1:3925 W VALLEY VIEW RD
Mailing Address - Street 2:
Mailing Address - City:THATCHER
Mailing Address - State:AZ
Mailing Address - Zip Code:85552-5151
Mailing Address - Country:US
Mailing Address - Phone:928-322-0792
Mailing Address - Fax:
Practice Address - Street 1:3925 W VALLEY VIEW RD
Practice Address - Street 2:
Practice Address - City:THATCHER
Practice Address - State:AZ
Practice Address - Zip Code:85552-5151
Practice Address - Country:US
Practice Address - Phone:928-322-0792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist