KENNETH DANIEL O'DEA CCC-SLP NPI 1255118725

NPI Information

  • NPI: 1255118725
  • Provider Name: KENNETH DANIEL O'DEA, CCC-SLP
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Individual
  • Address: 366 N HOLLY ST
    CANBY, OR
    ZIP 97013
  • Phone: (503) 908-6120

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NPI Details

Kenneth Daniel O'dea, CCC-SLP is a speech language pathologist in Canby, OR. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. Kenneth Daniel O'dea, CCC-SLP NPI is 1255118725. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

366 N HOLLY ST
CANBY, OR
ZIP 97013-739
Phone: (503) 908-6120

The enumeration date for this NPI number is 9/11/2023 and was last updated on 9/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language Pathologist16852OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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