Individual
POPPY HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-8100
Mailing address
9845 BOULDER CT, SAINT LOUIS, MO 63119-1004
(314) 210-2116
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2024023102
MO
235Z00000X
Speech-Language Pathologist
Primary
2025031781
MO
Other
Enumeration date
08/05/2024
Last updated
04/16/2026
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