MEDICARE: KENDALL LEE NORMAN M.S., CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SZ8281	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235643586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENDALL LEE NORMAN M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	1004 HURON TRL
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32317-9415
Country	:	US
Telephone Number	:	850-524-8317
Fax Number	:	855-795-1904

Provider Business Practice Location Address
First Line	:	2940 E PARK AVE # 2F
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32301-3446
Country	:	US
Telephone Number	:	850-895-9394
Fax Number	:	855-795-1904

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/23/2017
Last Update Date	:	09/04/2021

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Directions to “ KENDALL LEE NORMAN M.S., CCC-SLP” Practice Location

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