Most Relevant Information
Provider Data
| NPI Number: | 1003583980 |
| Provider Name: | KAYLA MARIE ZIMA M.A., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 146013441 |
Most Important Dates
| Enumeration Date: | 08/27/2021 |
| Last Updated: | 08/27/2021 |
Provider Practice Location
1318 W 6TH ST
KEWANEE
IL
614431261
Practice Location Phone/Fax
| Phone: | 3098525696 |
| Fax: |
Provider Mailing Location
433 RIDGE DR
GENESEO
IL
612549130
Provider Mailing Phone/Fax
| Phone: | 7124200615 |
| Fax: |