Individual
ANITA GAIL HERNDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-MS-SLP
Contact information
Practice address
301 GEORGE ROBINSON ROAD, HAZEL, KY 42049
(270) 492-8656
(270) 492-8628
Mailing address
301 GEORGE ROBINSON ROAD, HAZEL, KY 42049
(270) 492-8656
(270) 492-8628
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2300
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1288
FIRST STEPS BILLING NUMBE
KY
Enumeration date
10/03/2006
Last updated
07/08/2007
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