Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Phyllis Antoinette Kenworthy, MACCC/SLP

Individual provider Speech-Language Pathologist · NPI 1992945919

Phyllis Antoinette Kenworthy, MACCC/SLP is a Speech-Language Pathologist in Lakewood, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2009
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Practice location Address checks out

3700 S St
Lakewood, CA 90712-1419
Phone: (562) 272-6497
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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 12201 (CA)

Record details

NPI number1992945919
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC/SLP
Sole proprietorYes
NPI enumeratedMarch 3, 2009
Last updated in NPPESMarch 5, 2009

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