MR. KENNETH THISDALE, M.A., CCC-SLP
Speech-Language Pathologist
Active
Individual
NPI: 1013901156
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes | SLP003500 (GA) |
Frequently Asked Questions
NPI 1013901156 is the National Provider Identifier for MR. KENNETH THISDALE, M.A., CCC-SLP, a Speech-Language Pathologist provider located in Snellville, GA. This NPI was enumerated on September 6, 2005.
MR. KENNETH THISDALE, M.A., CCC-SLP practices at 948 WOOD DUCK CT, Snellville, GA 30078.
Quick Facts
- NPI
- 1013901156
- Type
- Individual
- Enumerated
- Sep 6, 2005
- Last Updated
- Jul 8, 2007
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