Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Ken Wesley Anderson II, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1568883114

Mr. Ken Wesley Anderson II, CCC-SLP is a Speech-Language Pathologist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

540 Main St Apt 146
New York, NY 10044-0115
Phone: (909) 767-8962
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 024753 (NY)

Record details

NPI number1568883114
Entity typeIndividual (Type 1)
GenderMale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedDecember 30, 2013
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026

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