Provider Demographics
NPI:1801367487
Name:CONTE, KENDALL (BACHELORS OF ARTS)
Entity Type:Individual
Prefix:
First Name:KENDALL
Middle Name:
Last Name:CONTE
Suffix:
Gender:F
Credentials:BACHELORS OF ARTS
Other - Prefix:
Other - First Name:KENDALL
Other - Middle Name:
Other - Last Name:SPIRIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SAME AS ABOVE
Mailing Address - Street 1:2910 WINDING TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33596-7918
Mailing Address - Country:US
Mailing Address - Phone:813-417-8406
Mailing Address - Fax:
Practice Address - Street 1:3119 LITHIA PINECREST RD
Practice Address - Street 2:
Practice Address - City:VALRICO
Practice Address - State:FL
Practice Address - Zip Code:33596-5632
Practice Address - Country:US
Practice Address - Phone:813-662-1106
Practice Address - Fax:813-661-7661
Is Sole Proprietor?:No
Enumeration Date:2018-12-07
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSI3384235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLSI3384OtherLICENSE