Provider Demographics
NPI:1538990619
Name:LUNDQUIST, CADEN KENT (SLP-CF)
Entity type:Individual
Prefix:
First Name:CADEN
Middle Name:KENT
Last Name:LUNDQUIST
Suffix:
Gender:M
Credentials:SLP-CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 CHESTNUT RIDGE DR APT F
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-7811
Mailing Address - Country:US
Mailing Address - Phone:801-362-8060
Mailing Address - Fax:
Practice Address - Street 1:8621 N VALLEY PIKE
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:VA
Practice Address - Zip Code:22802-1528
Practice Address - Country:US
Practice Address - Phone:540-433-7819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2204001392235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist