Individual
DINA KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1562 DUXBURY CT, ALLENTOWN, PA 18104-1943
(201) 638-1321
Mailing address
1562 DUXBURY CT, ALLENTOWN, PA 18104-1943
(201) 638-1321
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL008886
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235200000X
TAXONOMY
PA
01
—
SL008886
SLP LICENSE
PA
Enumeration date
09/12/2016
Last updated
09/12/2016
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