Provider Demographics
NPI:1053968065
Name:ROBINSON, KAYLA ROSE
Entity type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:ROSE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:KAYLA
Other - Middle Name:ROSE
Other - Last Name:STRAMAT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12417 LIVERPOOL LN APT 204
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23836-2775
Mailing Address - Country:US
Mailing Address - Phone:724-994-9893
Mailing Address - Fax:
Practice Address - Street 1:1807 ARLINGTON RD
Practice Address - Street 2:
Practice Address - City:HOPEWELL
Practice Address - State:VA
Practice Address - Zip Code:23860-7105
Practice Address - Country:US
Practice Address - Phone:804-541-6408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-23
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202008761235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist