MEDICARE: KAYLEE ELISABETH DUNNIGAN CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SLP7833	AZ

General Provider Information

NPI Number	:	1033464722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLEE ELISABETH DUNNIGAN CCC-SLP

Provider Business Mailing Address
First Line	:	278 E 700 N
Second Line	:
City	:	SPRINGVILLE
State	:	UT
Zip	:	84663-6103
Country	:	US
Telephone Number	:	435-669-7914
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 W ELLIOT RD STE 109
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85284-1310
Country	:	US
Telephone Number	:	480-374-4341
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2012
Last Update Date	:	03/26/2026

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Directions to “ KAYLEE ELISABETH DUNNIGAN CCC-SLP” Practice Location

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