Individual
MRS. LOUISE ANNE KENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
20 COUNTRYSIDE DR, RUTLAND, VT 05701-9678
(802) 558-2105
Mailing address
20 COUNTRYSIDE DRIVE, RUTLAND, VT 05701
(802) 558-2105
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01077126
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01077126
AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION
VT
Enumeration date
08/08/2012
Last updated
08/08/2012
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