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General NPI Number Information
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NPI Number | 1285557116
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Entity Type | Individual
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Provider Name | KENDRA MENDOZA MS
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Gender | Female
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Dates
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Enumeration Date | 07/30/2026
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Last Update Date | 07/30/2026
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Provider Practice Location Address
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Address Line | 673 COLUMBIA TPKE
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City | EAST GREENBUSH
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State | NY
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Zip | 12061-2130
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Country | US
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Telephone | 518-233-0544
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Fax |
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Provider Business Mailing Address
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Address Line | 9 HOLLANDALE LN APT A
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City | CLIFTON PARK
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State | NY
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Zip | 12065-5239
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State | NY
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