Individual
JENNIFER CLAIRE HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
6705 W 12TH ST, SUITE 3, LITTLE ROCK, AR 72204-1515
(501) 603-9976
Mailing address
1 BISHOP CT, MAUMELLE, AR 72113-6200
(501) 749-3753
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2497
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213157721
—
AR
Enumeration date
05/18/2016
Last updated
05/18/2016
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