Individual
ANN M. KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
171 PROCTOR RD, CHENANGO FORKS, NY 13746-2143
(607) 237-2896
Mailing address
171 PROCTOR RD, CHENANGO FORKS, NY 13746-2143
(607) 656-4787
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
012992-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012992-1
STATE LICENSURE
NY
Enumeration date
10/19/2008
Last updated
07/23/2010
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