Individual ProviderKayla Marlise HeinsSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address335 Brighton Ave, Portland, ME 04102-2363(207) 775-4000(845) 707-1894PECOS EnrollmentBased on the most recent information from CMS, provider Kayla Marlise Heins does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1780170431Provider TypeIndividualFull NameHeins, Kayla MarliseGenderFemaleSole ProprietorNoEnumeration Date7/5/2018Last Updated10/30/2020Contact InformationPractice LocationPractice Address335 Brighton Ave, Portland, ME 04102-2363Phone(207) 775-4000FaxUnlisted FaxMailing LocationMailing Address14 Marshall St Apt B, Portland, ME 04102-3202Phone(845) 707-1894FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseSP2797Maine