Individual
BAILEY HENNEBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
4 HENDRICKSON AVE STE 4, RED BANK, NJ 07701-6155
(732) 639-1551
(732) 335-6759
Mailing address
4 HENDRICKSON AVE STE 4, RED BANK, NJ 07701-6155
(732) 639-1551
(732) 335-6759
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01181800
NJ
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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