Doctor Name: | CYNTHIA HENDERSON |
NPI Number: | 1164871539 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 2202004479 |
Business Practice Address: | 1912 Memorial Ave Lynchburg, VA - 245011708 |
Business Phone Number: | 4348458765 |
Business Fax Number: | 4348458467 |
Mailing Address: | 1912 Memorial Ave, LYNCHBURG |
State: | VA |
Postal Code: | 245011708 |
Phone Number: | 4348458765 |
Fax Number: | 4348458467 |
NPI Enumeration Date: | 06/07/2016 |
NPI Last Update Date: | 06/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202004479 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |