Individual
INGEBORG HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, M.ED
Contact information
Practice address
8044D SOQUEL DR, APTOS, CA 95003-3918
(831) 295-3979
Mailing address
3728 REDWOOD DR, APTOS, CA 95003-2521
(831) 295-3979
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP20877
CA
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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