Kayla Marie Altice, MS, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Vinton, VA

NPI 1013753490 · NPPES record last updated Jan 2, 2026

Key facts

NPI
1013753490
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
40418 (CA)
Practice address
705 Clearview Dr
Vinton, VA 24179-3605
Phone
(540) 982-6691
NPI assigned
Jul 3, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
40418CAMDLicensed Psychiatric Technician
18423ORMDSpeech-Language Pathologist
2202011360VAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 40418 CA Yes
Speech-Language Pathologist 235Z00000X 18423 OR
Speech-Language Pathologist 235Z00000X 2202011360 VA
Speech-Language Pathologist 235Z00000X 14362519

Addresses

Primary practice location

705 Clearview Dr
Vinton, VA 24179-3605

Mailing address

6005 Farmhouse CT
Roanoke, VA 24019-7457
Phone (540) 494-5405

Other practice location 1

925 S Semoran Blvd Ste 110A
Winter Park, FL 32792-5313
Phone (407) 641-1718

Other providers in Vinton, VA

All providers in Vinton, VA · Speech-Language Pathologist in Virginia

Sources for this page

Verify at the official NPI Registry.