Provider Demographics
NPI:1588355259
Name:GAINE, KAYLA (MSED CFY-SLP)
Entity type:Individual
Prefix:MS
First Name:KAYLA
Middle Name:
Last Name:GAINE
Suffix:
Gender:F
Credentials:MSED CFY-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 THISTLE LN
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL JCT
Mailing Address - State:NY
Mailing Address - Zip Code:12533-3407
Mailing Address - Country:US
Mailing Address - Phone:347-831-3765
Mailing Address - Fax:
Practice Address - Street 1:135 CLOVE BRANCH RD
Practice Address - Street 2:
Practice Address - City:HOPEWELL JCT
Practice Address - State:NY
Practice Address - Zip Code:12533-6183
Practice Address - Country:US
Practice Address - Phone:845-592-0681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist