Individual
ELLEN LEA KENYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP/L
Contact information
Practice address
135 SNYDER RD, HERMITAGE, PA 16148-3431
(724) 342-3898
Mailing address
1483 SW BOUGAINVILLEA AVE, PORT SAINT LUCIE, FL 34953-7302
(772) 336-6928
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL013942
PA
Other
Enumeration date
05/24/2018
Last updated
05/11/2021
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