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KENDRA MAHAN CCC-SLP
NPI 1497498422
Speech-Language Pathologist in Livingston, TN

Active since April 18, 2022
306 W BROAD ST STE B, LIVINGSTON, TN 38570(931) 823-6136(931) 823-6138 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kendra Mahan Ccc-slp NPPES

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

KENDRA MAHAN CCC-SLP (NPI 1497498422) is an individual speech-language pathologist provider in Livingston, Tennessee, licensed in Tennessee (6564) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1497498422
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKENDRA MAHANCredential: CCC-SLP
Location Address306 W BROAD ST STE BLivingston, TN 38570-1804
Mailing Address306 W Broad St Ste BLivingston, TN 38570-1804 · (931) 823-6136 · Fax (931) 823-6138
Phone(931) 823-6136
Fax(931) 823-6138
Sole ProprietorNo
Enumeration DateApril 18, 2022
NPPES CertifiedApril 18, 2022
✔ NPI 1497498422 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 TN · 6564
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.
306 W BROAD ST STE B, Livingston, TN 38570
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Other Names 1

Former Name (1)Kendra Petty Ccc-slp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETHANY COPELAND OTD
Occupational Therapist
306 W BROAD ST STE B
LIVINGSTON, TN 38570
Overton County (931) 823-6136
LINDSEY BEATY CCC-SLP
Speech-Language Pathologist
306 W BROAD ST STE B
LIVINGSTON, TN 38570
Overton County (931) 823-6136

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 Kendra Mahan's NPI number?

The NPI number for Kendra Mahan is 1497498422. It was assigned to this individual provider in the NPPES registry on April 18, 2022. The provider is also known as Kendra Petty Ccc-Slp.

Where is Kendra Mahan located?

Kendra Mahan practices at 306 W Broad St Ste B, Livingston, TN 38570. The listed phone number is (931) 823-6136.

What is Kendra Mahan's specialty?

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

What insurance does Kendra Mahan accept?

Health plans from BlueCross BlueShield of Tennessee list Kendra Mahan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kendra Mahan was last updated on April 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.