MRS. Regina Marie Kennedy, MED CCC SLP LICENSE
NPI #1114142189 in Bradford, Pennsylvania
Provider Information
- NPI Number
- 1114142189
- Entity Type
- Individual
- Name
- MRS. Regina Marie Kennedy, MED CCC SLP LICENSE
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MED CCC SLP LICENSE
- Enumeration Date
- Apr 16, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 110 CAMPUS DRIVE
- City
- Bradford
- State
- Pennsylvania
- ZIP Code
- 16701
- Phone
- (814) 887-5591
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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