Healthcare Provider Details
I. General information
NPI: 1114883204
Provider Name (Legal Business Name): KAYLA SMITH MS, CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/01/2026
Last Update Date: 01/01/2026
Certification Date: 01/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2033 N HIGHWAY 190 STE 10
COVINGTON LA
70433-8985
US
IV. Provider business mailing address
2033 N HIGHWAY 190 STE 10
COVINGTON LA
70433-8985
US
V. Phone/Fax
- Phone: 985-590-4549
- Fax:
- Phone: 985-590-4549
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: