Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Kenneth Allen Thisdale, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1013901156

Mr. Kenneth Allen Thisdale, MA, CCC-SLP is a Speech-Language Pathologist in Snellville, Georgia. Licensed in Georgia. Registered with an NPI since 2005.

Licensed in
GA
In the registry since
2005
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
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

948 Wood Duck Ct
Snellville, GA 30078-7728
Phone: (404) 964-7808
Fax: (770) 982-2247
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP003500 (GA)

Record details

NPI number1013901156
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedSeptember 6, 2005
Last updated in NPPESJuly 13, 2026

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