Provider Demographics
NPI:1336571272
Name:COLE, KENDRA (MAED CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KENDRA
Middle Name:
Last Name:COLE
Suffix:
Gender:F
Credentials:MAED CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 SEA MIST DR
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27332-6287
Mailing Address - Country:US
Mailing Address - Phone:606-524-3063
Mailing Address - Fax:
Practice Address - Street 1:4200 MORGANTON RD STE 207
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-1564
Practice Address - Country:US
Practice Address - Phone:910-748-0009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-02
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist