Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH ALLEN THISDALE, M.A., CCC-SLP
ActiveMR. KENNETH ALLEN THISDALE, M.A., CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in SNELLVILLE, Georgia. NPI 1013901156 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · SNELLVILLE, GA
Registration Details
- NPI Number
- 1013901156
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 6, 2005 (20.895000249717 yrs)
- Last Updated
- Jul 8, 2007
- License
-
SLP003500 (GA)
Practice Information
- Address
-
948 WOOD DUCK CTSNELLVILLE, GA, 300787728Browse GA providers · Browse ZIP 30078
- Phone
- 4049647808
- Fax
- 7709822247
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in SNELLVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| MISS TASHA NICOLE NUNNERY | M.ED., CCC-SLP | 1659338242 |
| STEPHANIE KOVAC LANGFORD | M.ED, CCC-SLP | 1821036930 |
| MS. PATRICIA ANN BEERS | M.ED. | 1609882372 |
| ANOUSITH SRIRATANAKOUL | CCC-SLP | 1770677924 |
| MRS. DEIDRE D. KIEFER | M.S./CCC/SLP/L | 1588743017 |
| MS. MARIE G. LESLEY | M./S./CCC-SLP/L | 1457430951 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.