Doctor Name: | MRS. MARCY GRANT HENDRIX |
NPI Number: | 1366573883 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SA 8493 |
Business Practice Address: | 2760 Dora Ave Tavares, FL - 327784970 |
Business Phone Number: | 3527427837 |
Business Fax Number: | 3525085113 |
Mailing Address: | 10336 Vista Pines Loop, CLERMONT |
State: | FL |
Postal Code: | 347119172 |
Phone Number: | 3524613431 |
Fax Number: | |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 02/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 8493 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |