Thisdale, Kenneth Allen
Thisdale, Kenneth Allen is an individual health care provider with primary practice located at 948 Wood Duck Ct , Snellville GA 30078-7728. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Thisdale, Kenneth Allen can be contacted via phone (404) 964-7808.Contact Information
Primary practice address
948 Wood Duck Ct
Snellville GA 30078-7728
Phone: (404) 964-7808
Fax: (770) 982-2247
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP003500 | Georgia |
Profile Details
| NPI number | 1013901156 |
|---|---|
| LBN Legal business name | Thisdale, Kenneth Allen |
| Credentials | M.A., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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