Provider Demographics
NPI:1972324291
Name:KENDRA, ARIANNA RAE (MA, ATR-BC, LPC)
Entity type:Individual
Prefix:
First Name:ARIANNA
Middle Name:RAE
Last Name:KENDRA
Suffix:
Gender:F
Credentials:MA, ATR-BC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 RICKERT RD
Mailing Address - Street 2:
Mailing Address - City:SELLERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18960-3413
Mailing Address - Country:US
Mailing Address - Phone:267-733-2316
Mailing Address - Fax:
Practice Address - Street 1:315 RICKERT RD
Practice Address - Street 2:
Practice Address - City:SELLERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18960-3413
Practice Address - Country:US
Practice Address - Phone:267-733-2316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-19
Last Update Date:2024-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
21-528221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist