Doctor Name: | MRS. KENDIS RESPESS MCADEN |
NPI Number: | 1780929554 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | 2202003345 |
Business Practice Address: | 5015 Lee Hwy Arlington, VA - 222072532 |
Business Phone Number: | 7036231806 |
Business Fax Number: | |
Mailing Address: | 8409 Idylwood Rd, VIENNA |
State: | VA |
Postal Code: | 221825174 |
Phone Number: | 7039751530 |
Fax Number: | |
NPI Enumeration Date: | 12/05/2012 |
NPI Last Update Date: | 12/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202003345 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |