Individual
MRS. ANDREANA MARELLA HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1929 E ROYALTON RD STE A, BROADVIEW HTS, OH 44147-2868
(440) 838-0990
(440) 838-8440
Mailing address
1929 E ROYALTON RD STE A, BROADVIEW HTS, OH 44147-2868
(440) 838-0990
(440) 838-8440
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 10157
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0849916
—
OH
Enumeration date
09/14/2010
Last updated
01/26/2012
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