Provider Demographics
NPI:1982582631
Name:MCKENNEY, SYDNEY HIGGINS (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:SYDNEY
Middle Name:HIGGINS
Last Name:MCKENNEY
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4349 ARBOR COVE CIR
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92058-6955
Mailing Address - Country:US
Mailing Address - Phone:760-712-7415
Mailing Address - Fax:
Practice Address - Street 1:31555 OLD RIVER RD
Practice Address - Street 2:
Practice Address - City:BONSALL
Practice Address - State:CA
Practice Address - Zip Code:92003-5112
Practice Address - Country:US
Practice Address - Phone:760-631-5205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38237235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist