Provider Demographics
NPI:1225485717
Name:FRANCESCHINI, KENZIE REBECCA (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KENZIE
Middle Name:REBECCA
Last Name:FRANCESCHINI
Suffix:
Gender:
Credentials:MS, CCC-SLP
Other - Prefix:MS
Other - First Name:KENZIE
Other - Middle Name:REBECCA
Other - Last Name:SOUTHARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:960 SALT SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13224
Mailing Address - Country:US
Mailing Address - Phone:315-446-6250
Mailing Address - Fax:315-446-2416
Practice Address - Street 1:960 SALT SPRINGS RD
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13224
Practice Address - Country:US
Practice Address - Phone:315-446-6250
Practice Address - Fax:315-446-2416
Is Sole Proprietor?:No
Enumeration Date:2016-05-16
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026661-1235Z00000X
235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY06319093Medicaid