National Provider Identifier
Samantha June Kennedy, M.S.ED
Samantha June Kennedy, M.S.ED is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Buffalo, NY and a listed phone number of (716) 816-3440.
Profile Overview
- NPI
- 1710539309
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- July 12, 2019
- Last Updated
- August 28, 2024
Practice Location
- 780 Parkside Ave
- Buffalo, NY 14216
Phone: (716) 816-3440
Mailing Address
- 176 French Lea RD
- West Seneca, NY 14224
Specialties
- Speech-Language Pathologist (235Z00000X)
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1710539309
- Entity Type
- Individual
- Last Name
- Kennedy
- First Name
- Samantha
- Middle Name
- June
- Name Prefix
- Mrs.
- Credential
- M.S.ED
- Provider Other Last Name
- Moore
- Provider Other First Name
- Samantha
- Provider Other Middle Name
- June
- Provider Other Name Prefix Text
- MS.
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 176 French Lea RD
- Mailing City
- West Seneca
- Mailing State
- NY
- Mailing ZIP Code
- 14224
- Mailing Country
- US
- Mailing Phone
- (716) 292-4587
- Practice Street Address
- 780 Parkside Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14216
- Practice Country
- US
- Practice Phone
- (716) 816-3440
- Enumeration Date
- July 12, 2019
- Last Updated
- August 28, 2024
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X), Speech-Language Pathologist (235Z00000X)
- Other Identifiers
- 06256353 (NY)