Provider Demographics
NPI:1487899050
Name:LENOIR, KATHY V (MCD, CCC-D, FAAA)
Entity type:Individual
Prefix:MS
First Name:KATHY
Middle Name:V
Last Name:LENOIR
Suffix:
Gender:F
Credentials:MCD, CCC-D, FAAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:931 SHARIT AVE
Mailing Address - Street 2:#101
Mailing Address - City:GARDENDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35071-5003
Mailing Address - Country:US
Mailing Address - Phone:205-631-8116
Mailing Address - Fax:205-631-8114
Practice Address - Street 1:931 SHARIT AVE
Practice Address - Street 2:#101
Practice Address - City:GARDENDALE
Practice Address - State:AL
Practice Address - Zip Code:35071-5003
Practice Address - Country:US
Practice Address - Phone:205-631-8116
Practice Address - Fax:205-631-8114
Is Sole Proprietor?:No
Enumeration Date:2008-12-10
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL629A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist