Provider Demographics
NPI:1639767569
Name:GARCIANO-KENDRICK, AIMEE (CCC-SLP)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:
Last Name:GARCIANO-KENDRICK
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10095 S BLANEY AVE APT 214
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-6618
Mailing Address - Country:US
Mailing Address - Phone:714-932-8014
Mailing Address - Fax:
Practice Address - Street 1:10095 S BLANEY AVE APT 214
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-6618
Practice Address - Country:US
Practice Address - Phone:714-932-8014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30534235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist