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Individual

MRS. HEATHER DEVOE HENDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
12220 BRUCE B DOWNS BLVD, TAMPA, FL 33612-9201
(813) 631-5047
(813) 631-5040
Mailing address
22553 CLIFFSIDE WAY, LAND O LAKES, FL 34639-6768
(813) 996-2579

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA6420
FL

Other

Enumeration date
02/01/2007
Last updated
07/08/2007
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