Individual
KRISTA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED. CCC-SLP
Contact information
Practice address
6525 N MERIDIAN AVE STE 311, OKLAHOMA CITY, OK 73116-1410
(405) 721-1115
(405) 721-2025
Mailing address
1501 NW 179TH ST, EDMOND, OK 73012-4009
(405) 201-2174
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2623
OK
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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