IndividualActive
Mary Kennedy, EDDSPED,CCC-SLP
NPI 1053455568 · Speech-Language Pathologist · Hideaway, TX
Provider details
- NPI number
- 1053455568
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- EDDSPED,CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 11254 (TX)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
- Speech-Language Pathologist235Z00000X
Practice location
1613 Ginger Dr
Hideaway, TX 75771-5311
Phone: (903) 530-8169
Approximate (ZIP-level) locationGet directions
Mailing address
1613 Ginger Dr
Hideaway, TX 75771-5311
Registry dates
- Enumerated
- 2007-02-16
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.