Individual
SUSAN LYNNE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., SLP
Contact information
Practice address
1820 S HARRIS DR, MESA, AZ 85204-6710
(480) 545-7060
Mailing address
9355 E HILLVIEW CIR, MESA, AZ 85207-4309
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP 1754
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
616823
—
AZ
Enumeration date
11/20/2006
Last updated
07/08/2007
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