Healthcare Provider Details

I. General information

NPI: 1902494263
Provider Name (Legal Business Name): KAYLA ZIMDARS CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAYLA VOIGHT

II. Dates (important events)

Enumeration Date: 01/04/2021
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3005 8 1/2 ST
MONROE WI
53566-1949
US

IV. Provider business mailing address

200 PRAIRIE HEIGHTS DR APT 202
VERONA WI
53593-2250
US

V. Phone/Fax

Practice location:
  • Phone: 608-328-7134
  • Fax:
Mailing address:
  • Phone: 262-385-0696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number1001476881
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: