Provider Demographics
NPI:1659957728
Name:CEMPA, KAYLA KRISTINE (MS CCC-SLP, TSSLD)
Entity type:Individual
Prefix:MISS
First Name:KAYLA
Middle Name:KRISTINE
Last Name:CEMPA
Suffix:
Gender:F
Credentials:MS CCC-SLP, TSSLD
Other - Prefix:MISS
Other - First Name:KAYLA
Other - Middle Name:KRISTINE
Other - Last Name:CEMPA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP, TSSLD
Mailing Address - Street 1:3323 TIMUCUA CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-7119
Mailing Address - Country:US
Mailing Address - Phone:631-741-8254
Mailing Address - Fax:
Practice Address - Street 1:3155 PHONETIA DR
Practice Address - Street 2:
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32738-9422
Practice Address - Country:US
Practice Address - Phone:386-575-4103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-19
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033152-01235Z00000X
FLSA21850235Z00000X
235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist