Individual
MS. ANDREA LEE KENEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSLP
Contact information
Practice address
525 HALF HOLLOW RD, DIX HILLS, NY 11746-5828
(631) 592-3063
Mailing address
525 HALF HOLLOW RD, DIX HILLS, NY 11746-5828
(631) 592-3063
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
010967-1
NY
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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