Provider Demographics
NPI:1356571665
Name:GARAND, KENDREA LAYNE (PHD, CSCD, CCC-SLP)
Entity type:Individual
Prefix:
First Name:KENDREA
Middle Name:LAYNE
Last Name:GARAND
Suffix:
Gender:F
Credentials:PHD, CSCD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2889 SOLLIE RD
Mailing Address - Street 2:APT 624
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695
Mailing Address - Country:US
Mailing Address - Phone:919-523-4690
Mailing Address - Fax:
Practice Address - Street 1:5721 USA DR N
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36688-5114
Practice Address - Country:US
Practice Address - Phone:251-445-9275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL009663235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist