Individual
MRS. STEPHANIE BAKER KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
10600 YORK RD, SUITE 105, COCKEYSVILLE, MD 21030-2351
(631) 608-5630
Mailing address
606 SARA CIR, PORT JEFFERSON STATION, NY 11776-2742
(631) 828-8510
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
58 017283
NY
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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