Individual
AMY ELIZABETH HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CF
Contact information
Practice address
103 ROSEHILL DR, SOUTH BOSTON, VA 24592-4843
(434) 517-7500
Mailing address
605 W CHAPEL HILL ST APT 662, DURHAM, NC 27701-2776
(704) 516-2048
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000322
VA
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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