Individual
DANIEL THOMAS HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA/CCC-SLP
Contact information
Practice address
4701 GRAND AVE S APT 5, MINNEAPOLIS, MN 55419-5445
(901) 483-2092
Mailing address
4701 GRAND AVE S APT 5, MINNEAPOLIS, MN 55419-5445
(901) 483-2092
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
29643
CA
Other
Enumeration date
10/28/2020
Last updated
01/04/2024
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