Individual
MRS. BETH HENNINGSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP/L
Contact information
Practice address
1554 E ALGONQUIN RD, ALGONQUIN, IL 60102-4519
(847) 707-6744
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.005909
IL
Other
Enumeration date
11/04/2006
Last updated
10/09/2023
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