Individual
BETH A KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
590 FISHERS STATION DR STE 130, VICTOR, NY 14564-9744
(585) 924-7207
Mailing address
590 FISHERS STATION DR STE 130, VICTOR, NY 14564-9744
(585) 924-7207
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
011879-01
NY
235Z00000X
Speech-Language Pathologist
SP-10247
OH
Other
Enumeration date
01/03/2012
Last updated
07/15/2022
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