Individual
KAITLIN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
621 GRACEY AVE, CLARKSVILLE, TN 37040-4012
(931) 648-5600
Mailing address
545 MAINSTREAM DR STE 220, NASHVILLE, TN 37228-1261
(615) 983-5300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8792
TN
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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