Individual
HALEY HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
9711 W OAKLAND PARK BLVD, SUNRISE, FL 33351-7013
(954) 572-4000
Mailing address
2100 S OCEAN LN APT 1908, FORT LAUDERDALE, FL 33316-3827
(567) 204-3098
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ9670
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
N/A
—
Enumeration date
07/14/2020
Last updated
07/31/2020
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