Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. KENNETH ALLEN THISDALE M.A., CCC-SLP
NPI 1013901156
Speech-Language Pathologist in Snellville, GA

Q: What is Kenneth Thisdale's NPI number?

The NPI number for Kenneth Thisdale is 1013901156. It was assigned to this individual provider in the NPPES registry on September 6, 2005.

Q: What is Kenneth Thisdale's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Thisdale was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 06, 2005

948 WOOD DUCK CT, SNELLVILLE, GA 30078(404) 964-7808(770) 982-2247 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Kenneth Allen Thisdale M.a., Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENNETH ALLEN THISDALE M.A., CCC-SLP (NPI 1013901156) is an individual speech-language pathologist provider in Snellville, Georgia, licensed in Georgia (SLP003500) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1013901156

Entity TypeIndividualMale

Primary Taxonomy235Z00000X

Provider Legal NameMR. KENNETH ALLEN THISDALECredential: M.A., CCC-SLP

Location Address948 WOOD DUCK CTSnellville, GA 30078-7728

Mailing Address948 Wood Duck CtSnellville, GA 30078-7728 · (404) 964-7808 · Fax (770) 982-2247

Phone(404) 964-7808

Fax(770) 982-2247

Sole ProprietorNo

Enumeration DateSeptember 6, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1013901156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in GA · SLP003500

Definition

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.

948 WOOD DUCK CT, Snellville, GA 30078

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Thisdale's NPI number?

The NPI number for Kenneth Thisdale is 1013901156. It was assigned to this individual provider in the NPPES registry on September 6, 2005.

Where is Kenneth Thisdale located?

Kenneth Thisdale practices at 948 Wood Duck Ct, Snellville, GA 30078. The listed phone number is (404) 964-7808.

What is Kenneth Thisdale's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Thisdale was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.