Doctor Name: | LEAH K KENDRICK |
NPI Number: | 1023176112 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED., CCC-SLP |
License Number: | SLP003096 |
Business Practice Address: | 1442 Cambridge Ct Riverdale, GA - 302962970 |
Business Phone Number: | 7709971791 |
Business Fax Number: | |
Mailing Address: | 853 Eagles Nest Cir, CARROLLTON |
State: | GA |
Postal Code: | 301163806 |
Phone Number: | 7708380609 |
Fax Number: | |
NPI Enumeration Date: | 12/04/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP003096 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |