Individual
ANN REID HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
5301 PROVIDENCE RD, SUITE 80, VIRGINIA BEACH, VA 23464-4128
(757) 467-1900
(757) 467-7900
Mailing address
3470 CURITIBA CT, ALPHARETTA, GA 30022-1454
(678) 827-6727
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2202007577
VA
235Z00000X
Speech-Language Pathologist
Primary
SLP010740
GA
Other
Enumeration date
09/09/2014
Last updated
05/12/2021
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