Provider Demographics
NPI:1346411436
Name:KENNEDY, DANIELLE YVONNE (MS, CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:YVONNE
Last Name:KENNEDY
Suffix:
Gender:F
Credentials:MS, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 S SIMMS ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-2909
Mailing Address - Country:US
Mailing Address - Phone:303-200-0197
Mailing Address - Fax:
Practice Address - Street 1:13952 DENVER WEST PKWY STE 325
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80401-3143
Practice Address - Country:US
Practice Address - Phone:720-974-9757
Practice Address - Fax:720-974-0248
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-17
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAUD190231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist