Provider Demographics
NPI:1235933631
Name:KENNEDY, ALLYSON KYRA (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:ALLYSON
Middle Name:KYRA
Last Name:KENNEDY
Suffix:
Gender:
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 1:150 LIST HILL RD
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:PA
Mailing Address - Zip Code:16059-1810
Mailing Address - Country:US
Mailing Address - Phone:724-355-9955
Mailing Address - Fax:
Practice Address - Street 1:120 S BROAD ST STE A
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:PA
Practice Address - Zip Code:16127-1544
Practice Address - Country:US
Practice Address - Phone:724-752-1551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist