Individual
TAKAYLA S KENDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2008 DOCK LANDING RD # L, CHESAPEAKE, VA 23321-3512
(757) 465-6300
Mailing address
126 MERIDIAN PL, SUFFOLK, VA 23435-3787
(757) 754-7576
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000562
VA
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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