Provider Demographics
NPI:1053296574
Name:HODGES, KENLEA ALLISON (MS SLP)
Entity type:Individual
Prefix:MRS
First Name:KENLEA
Middle Name:ALLISON
Last Name:HODGES
Suffix:
Gender:F
Credentials:MS SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4215 41ST ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79413-2909
Mailing Address - Country:US
Mailing Address - Phone:806-773-5919
Mailing Address - Fax:
Practice Address - Street 1:4215 41ST ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79413-2909
Practice Address - Country:US
Practice Address - Phone:806-773-5919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX123901235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX123901OtherTDLR LICENSE NUMBER