Provider Demographics
NPI:1700608742
Name:KENNY, NATALIE ROSE (CF-SLP TSSLD)
Entity type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:ROSE
Last Name:KENNY
Suffix:
Gender:F
Credentials:CF-SLP TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:377 SHERIDAN BLVD
Mailing Address - Street 2:
Mailing Address - City:INWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11096-1203
Mailing Address - Country:US
Mailing Address - Phone:516-457-4582
Mailing Address - Fax:
Practice Address - Street 1:1180 HENRIETTA PL
Practice Address - Street 2:
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557-1100
Practice Address - Country:US
Practice Address - Phone:516-792-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist