Individual
JENNIFER ANN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
20 MICHELLE DR, HUNLOCK CREEK, PA 18621-2926
(570) 262-6850
Mailing address
514 COUNTRY CLUB APTS, DALLAS, PA 18612-8922
(570) 814-2987
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL008504
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016189810001
—
PA
Enumeration date
04/11/2007
Last updated
07/08/2007
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