| Doctor Name: | TRACI LINN FOGLIANI-KENNEDY |
| NPI Number: | 1154486140 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | SP-677 |
| Business Practice Address: | 2170 South Ave South Lake Tahoe, CA - 961507026 |
| Business Phone Number: | 5305423000 |
| Business Fax Number: | 5305446512 |
| Mailing Address: | Po Box 9578, SOUTH LAKE TAHOE |
| State: | CA |
| Postal Code: | 961589578 |
| Phone Number: | 5305423000 |
| Fax Number: | 5305446512 |
| NPI Enumeration Date: | 12/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP-677 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NV |
| 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 |