Provider Demographics
NPI:1356593644
Name:MCALEAR, KENDRA ANN (SLP)
Entity type:Individual
Prefix:DR
First Name:KENDRA
Middle Name:ANN
Last Name:MCALEAR
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1705 ALBANY AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-5027
Mailing Address - Country:US
Mailing Address - Phone:307-996-7982
Mailing Address - Fax:307-316-7246
Practice Address - Street 1:1705 ALBANY AVE STE 300
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-5027
Practice Address - Country:US
Practice Address - Phone:307-996-7982
Practice Address - Fax:307-316-7246
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-17
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WYSP-1195235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
09129203OtherAMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
WYSP-1195OtherSTATE OF WYOMING BOARD OF EXAMINERS OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY