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NPI Code Detail

MEDICARE: DR. SUANNE F KENDRICK AU.D., CCC-A/SLP

MEDICARE: DR. SUANNE F KENDRICK AU.D., CCC-A/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
1231H00000XAudiologist3352LA
2237600000XAudiologist-Hearing Aid Fitter3352LA
3235Z00000XSpeech-Language Pathologist3352LA

General Provider Information

NPI Number : 1376546580
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUANNE F KENDRICK AU.D., CCC-A/SLP
Provider Business Mailing Address
First Line : 1745 SW RAILROAD AVE
Second Line :
City : HAMMOND
State : LA
Zip : 70403-6150
Country : US
Telephone Number : 985-310-2154
Fax Number :
Provider Business Practice Location Address
First Line : 1745 SW RAILROAD AVE
Second Line :
City : HAMMOND
State : LA
Zip : 70403-6150
Country : US
Telephone Number : 985-310-2154
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 09/20/2022

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