MR. KENNETH ALLEN THISDALE (M.A., CCC-SLP) – Speech-Language Pathologist, NPI 1013901156

MR. KENNETH ALLEN THISDALE (M.A., CCC-SLP) is a healthcare provider. based in Snellville, Georgia. specializing in Speech-Language Pathologist. They hold the professional credentials M.A., CCC-SLP. They hold a License No. SLP003500 (GA). The NPI Number for MR. KENNETH ALLEN THISDALE (M.A., CCC-SLP) is 1013901156

Main info

Male
Name
MR. KENNETH ALLEN THISDALE (M.A., CCC-SLP)
NPI
1013901156
Phone
(404) 964-7808
Address
948 WOOD DUCK CT
Enumeration Date
6 September 2005
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for MR. KENNETH ALLEN THISDALE (M.A., CCC-SLP)

  • 948 WOOD DUCK CT

    SNELLVILLE, GA 300787728

    Phone: (404) 964-7808

    Fax: (770) 982-2247

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30078)

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Reviews

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Frequently asked questions

Does MR. KENNETH ALLEN THISDALE (M.A., CCC-SLP) have a public NPI I can cite?
Public records show MR. KENNETH ALLEN THISDALE (M.A., CCC-SLP) under NPI 1013901156.
Is MR. KENNETH ALLEN THISDALE (M.A., CCC-SLP)'s NPI status active today?
Active status means MR. KENNETH ALLEN THISDALE (M.A., CCC-SLP)'s NPI record is not deactivated in the public file.
Which specialty label fits MR. KENNETH ALLEN THISDALE (M.A., CCC-SLP)?
NPPES ties MR. KENNETH ALLEN THISDALE (M.A., CCC-SLP) to Speech-Language Pathologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. KENNETH ALLEN THISDALE (M.A., CCC-SLP)?
MR. KENNETH ALLEN THISDALE (M.A., CCC-SLP) shows a connection to Snellville, Georgia in registry-derived data.
Who maintains MR. KENNETH ALLEN THISDALE (M.A., CCC-SLP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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