Individual
CATHRYN GRACE HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
445 ROBIN CT, CHESHIRE, CT 06410-2427
(203) 671-4827
Mailing address
445 ROBIN CT, CHESHIRE, CT 06410-2427
(203) 671-4827
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003179
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003179
LICENSE #
CT
Enumeration date
03/09/2007
Last updated
09/16/2014
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