Individual
MRS. MICHELLE D HENDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2850 5TH AVE, HUNTINGTON, WV 25702-1436
(304) 528-5000
(304) 528-5080
Mailing address
491 BIG 7 MILE RD, LESAGE, WV 25537
(304) 634-1847
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12126520
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810006379
—
WV
Enumeration date
01/30/2008
Last updated
07/19/2024
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