Healthcare Provider Details

I. General information

NPI: 1942139308
Provider Name (Legal Business Name): KAYLA BAKEWELL M.S.,CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 CLAY PIKE
IRWIN PA
15642-5302
US

IV. Provider business mailing address

785 7TH ST
TRAFFORD PA
15085-1104
US

V. Phone/Fax

Practice location:
  • Phone: 412-897-8805
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSL017400
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: