National Provider Identifier

Lisa Kennedy, M.S.

Lisa Kennedy, M.S. is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Fairport, NY and a listed phone number of (585) 377-4660.

NPI 1215223508Fairport, NYSpeech-Language Pathologist

Profile Overview

NPI
1215223508
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
June 24, 2011
Last Updated
June 20, 2016

Practice Location

  • 41 Oconnor RD
  • Fairport, NY 14450-1327

Phone: (585) 377-4660

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1215223508
Entity Type
Individual
Last Name
Kennedy
First Name
Lisa
Name Prefix
Mrs.
Credential
M.S.
Mailing Street Address
41 Oconnor RD
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-1327
Mailing Country
US
Mailing Phone
(585) 377-4660
Practice Street Address
41 Oconnor RD
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1327
Practice Country
US
Practice Phone
(585) 377-4660
Enumeration Date
June 24, 2011
Last Updated
June 20, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)