Healthcare Provider Details

I. General information

NPI: 1114718152
Provider Name (Legal Business Name): KAYLA HOELZEL MS CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2025
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

822 MONTGOMERY AVE
NARBERTH PA
19072-1937
US

IV. Provider business mailing address

14 CLINTON LN
MARLTON NJ
08053-4908
US

V. Phone/Fax

Practice location:
  • Phone: 215-220-2210
  • Fax:
Mailing address:
  • Phone: 856-685-3421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number14447242
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: