Doctor Name: | AUTUMN HENNING |
NPI Number: | 1700219847 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 22005320A |
Business Practice Address: | 1900 Stringtown Rd Evansville, IN - 477114522 |
Business Phone Number: | 8124902826 |
Business Fax Number: | |
Mailing Address: | 1900 Stringtown Rd, EVANSVILLE |
State: | IN |
Postal Code: | 477114522 |
Phone Number: | 8124902826 |
Fax Number: | |
NPI Enumeration Date: | 08/13/2013 |
NPI Last Update Date: | 01/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 22005320A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |