Provider Demographics
NPI:1467260331
Name:KAYSER, SIMCHA FREIDA (CF-SLP)
Entity type:Individual
Prefix:
First Name:SIMCHA
Middle Name:FREIDA
Last Name:KAYSER
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6515 N MOZART ST # G
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60645-4303
Mailing Address - Country:US
Mailing Address - Phone:404-528-8290
Mailing Address - Fax:
Practice Address - Street 1:6515 N MOZART ST # G
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60645-4303
Practice Address - Country:US
Practice Address - Phone:404-528-8290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-24
Last Update Date:2024-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242.007914235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist