Individual
BERNADETTE MARLENE KENNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1529 E JACKSON ST, LONG BEACH, CA 90805-6129
(562) 999-1292
Mailing address
PO BOX 17988, LONG BEACH, CA 90807-7988
(562) 999-1292
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9152
CA
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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