Doctor Name: | MS. RUTH A KENNEMORE |
NPI Number: | 1104976406 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 2023 |
Business Practice Address: | 4643 Sylvan Dr Columbia, SC - 292061141 |
Business Phone Number: | 8037874264 |
Business Fax Number: | |
Mailing Address: | 4643 Sylvan Dr, COLUMBIA |
State: | SC |
Postal Code: | 292061141 |
Phone Number: | 8037874264 |
Fax Number: | |
NPI Enumeration Date: | 01/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2023 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
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 |