Individual
RENA KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 W NORTHERN AVE STE 207A, PHOENIX, AZ 85021-5471
(602) 935-7841
Mailing address
18605 N 33RD DR, PHOENIX, AZ 85027-4840
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA14456
AZ
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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