Individual
MRS. DONNA HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
725 BOARDMAN CANFIELD RD, E-1, BOARDMAN, OH 44512-4380
(330) 727-0702
Mailing address
725 BOARDMAN CANFIELD RD, E-1, BOARDMAN, OH 44512-4380
(330) 727-0702
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP2631
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000175017
UNIOSN
OH
01
—
11679653
CAQH
OH
Enumeration date
07/16/2008
Last updated
02/21/2017
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