Individual provider · Type 1 NPI

Kenyetta Elaine Kidd

Speech-Language Pathologist · Jacksonville, FL

NPI number 1174704035 Active

Practice location

910 N Jefferson St
Jacksonville, FL 32209-6810

Call (904) 360-7022 Map

Fax (904) 798-4544

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist 222Q00000XNone listed
Speech-Language Pathologist Primary 235Z00000XSA6945 (FL)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1174704035

Kenyetta Elaine Kidd's National Provider Identifier is 1174704035, issued on Nov 20, 2007. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 20, 2007.