Jennifer Kennedy Anderson
Individual provider Active NPI Speech-Language Pathologist · Catonsville, MD
NPI 1912464686 · NPPES record last updated Feb 28, 2019
Key facts
- NPI
- 1912464686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 06490 (MD)
- Practice address
- 4 Bitternut CT
Catonsville, MD 21228-5866 - Phone
- (410) 746-1119
- NPI assigned
- Feb 28, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06490 | MD | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 06490 | MD | Yes |
Addresses
Primary practice location
4 Bitternut CT
Catonsville, MD 21228-5866
Mailing address
4 Bitternut CT
Catonsville, MD 21228-5866
Phone (410) 746-1119
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All providers in Catonsville, MD · Speech-Language Pathologist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.