Individual
CLAYTON EUGENE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS CCC SLP
Contact information
Practice address
601 COLLIERS WAY, WEIRTON, WV 26062-5014
(304) 797-6104
Mailing address
219 REDFIELD DR, OAKDALE, PA 15071-1731
(724) 307-3367
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1170
WV
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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