Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MARY KATHLEEN KENNEDY, EDDSPED,CCC-SLP
Active Sole ProprietorMRS. MARY KATHLEEN KENNEDY, EDDSPED,CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in HIDEAWAY, Texas. NPI 1053455568 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · HIDEAWAY, TX
Registration Details
- NPI Number
- 1053455568
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 16, 2007 (19.495156740102 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
11254 (TX)SA8471 (FL)6816 (MA)3892 (NM)SP1522 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1613 GINGER DRHIDEAWAY, TX, 757715311Browse TX providers · Browse ZIP 75771
- Phone
- 9035308169
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
- Additional Specialty
- Speech, Language and Hearing Specialist
- Additional Specialty
- Speech, Language and Hearing Specialist
- Additional Specialty
- Speech, Language and Hearing Specialist
- Additional Specialty
- Speech, Language and Hearing Specialist
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.