National Provider Identifier

Beth A Kennedy, MS, CCC-SLP

Beth A Kennedy, MS, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Victor, NY and a listed phone number of (585) 924-7207.

NPI 1366712697Victor, NYSpeech-Language Pathologist

Profile Overview

NPI
1366712697
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
January 03, 2012
Last Updated
July 15, 2022

Practice Location

  • 590 Fishers Station Dr Ste 130
  • Victor, NY 14564-9744

Phone: (585) 924-7207

Specialties

  • Speech-Language Pathologist (235Z00000X)
  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1366712697
Entity Type
Individual
Last Name
Kennedy
First Name
Beth
Middle Name
A
Credential
MS, CCC-SLP
Mailing Street Address
590 Fishers Station Dr Ste 130
Mailing City
Victor
Mailing State
NY
Mailing ZIP Code
14564-9744
Mailing Country
US
Mailing Phone
(585) 924-7207
Practice Street Address
590 Fishers Station Dr Ste 130
Practice City
Victor
Practice State
NY
Practice ZIP Code
14564-9744
Practice Country
US
Practice Phone
(585) 924-7207
Enumeration Date
January 03, 2012
Last Updated
July 15, 2022
Sex
Female
Sole Proprietor
No
Certification Date
July 15, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X), Speech-Language Pathologist (235Z00000X)