Individual
SUSAN C HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
S.L.P.
Contact information
Practice address
3001 W BLUE STARR DR, CLAREMORE, OK 74017-2544
(918) 342-1651
Mailing address
4120 E 35TH ST, TULSA, OK 74135-1704
(918) 292-8298
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3235
OK
Other
Enumeration date
07/19/2013
Last updated
03/10/2014
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