National Provider Identifier
Kayla Clark
Kayla Clark is listed in the NPPES registry with a primary specialty of Counselor in Cheektowaga, NY and a listed phone number of (716) 381-0061.
Profile Overview
- NPI
- 1851855761
- Provider Type
- Individual
- Primary Specialty
- Counselor
- Enumeration Date
- January 24, 2019
- Last Updated
- December 23, 2023
Practice Location
- 1925 Kensington Ave
- Cheektowaga, NY 14215-1408
Phone: (716) 381-0061
Specialties
- Counselor (101Y00000X)
Full Record
- NPI
- 1851855761
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Kayla
- Mailing Street Address
- 1925 Kensington Ave
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14215-1408
- Mailing Country
- US
- Practice Street Address
- 1925 Kensington Ave
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14215-1408
- Practice Country
- US
- Practice Phone
- (716) 381-0061
- Enumeration Date
- January 24, 2019
- Last Updated
- December 23, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 23, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Counselor (101Y00000X)