Individual
ALEXANDRA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
6851 S HOLLY CIR STE 290, CENTENNIAL, CO 80112-1076
(205) 428-7377
Mailing address
3090 N ACADEMY BLVD, COLORADO SPRINGS, CO 80917-5310
(719) 574-8300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71770089
—
CO
Enumeration date
06/25/2015
Last updated
11/08/2022
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