Provider Demographics
NPI:1376546580
Name:KENDRICK, SUANNE F (AUD, CCC-A/SLP)
Entity Type:Individual
Prefix:DR
First Name:SUANNE
Middle Name:F
Last Name:KENDRICK
Suffix:
Gender:F
Credentials:AUD, CCC-A/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1745 SW RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-6150
Mailing Address - Country:US
Mailing Address - Phone:985-310-2154
Mailing Address - Fax:
Practice Address - Street 1:1745 SW RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-6150
Practice Address - Country:US
Practice Address - Phone:985-310-2154
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3352231H00000X, 237600000X, 235Z00000X, 235Z00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1153371Medicaid
LA4C658Medicare ID - Type Unspecified