Jennifer S. Kendrick, SLT

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

179071 Issued in SC

Practice address

403 S Lee St
Leesville, SC 29070-7712

Phone

(803) 532-1155

Fax

(803) 532-8027

NPI assigned

Jan 29, 2013

Last updated

Jan 29, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1447598297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 S LEE ST",
            "city": "LEESVILLE",
            "state": "SC",
            "postal_code": "290707712",
            "telephone_number": "803-532-1155",
            "fax_number": "803-532-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 S LEE ST",
            "city": "LEESVILLE",
            "state": "SC",
            "postal_code": "290707712",
            "telephone_number": "803-532-1155",
            "fax_number": "803-532-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "JENNIFER",
        "middle_name": "S.",
        "credential": "SLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "179071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David Edward Michael, MA, LPC, LPCS
• Janice Bowers Miller, RD

• Speech-Language Pathologist in Leesville, SC
• Providers in Leesville, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.