Doctor Name: | MS. GWENDOLYN GAINES HENDERSON |
NPI Number: | 1285955013 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICENSED SPEECH THER |
License Number: | SL005749L |
Business Practice Address: | 416 Queen St. (settlement Music School) Philadelphia, PA - 19147 |
Business Phone Number: | 2153202600 |
Business Fax Number: | 2155510483 |
Mailing Address: | 502 Emerson Ct., CLEMENTON |
State: | NJ |
Postal Code: | 08021 |
Phone Number: | 8566276404 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2010 |
NPI Last Update Date: | 06/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL005749L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |