Individual
MS. CHRISTINA MICHELLE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
208 BOOTH RD, SUITE B, ORMEND BEACH, FL 32174
(386) 446-7777
Mailing address
208 BOOTH RD, SUITE B, ORMEND BEACH, FL 32174
(386) 446-7777
(386) 446-7777
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA11894
FL
235Z00000X
Speech-Language Pathologist
SZ5707
FL
Other
Enumeration date
03/12/2012
Last updated
12/09/2021
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