1346585106 NPI number — MRS. REBECCA R HENDRICKSON M.A., CCC-SLP

Table of content: MRS. REBECCA R HENDRICKSON M.A., CCC-SLP (NPI 1346585106)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346585106 NPI number — MRS. REBECCA R HENDRICKSON M.A., CCC-SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HENDRICKSON
Provider First Name:
REBECCA
Provider Middle Name:
R
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.A., CCC-SLP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346585106
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/05/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1376
Provider Second Line Business Mailing Address:
1415 E. KINCAID ST
Provider Business Mailing Address City Name:
MOUNT VERNON
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98273-1376
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-814-2699
Provider Business Mailing Address Fax Number:
360-814-5828

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1415 E KINCAID ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOUNT VERNON
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98274-4126
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-814-2699
Provider Business Practice Location Address Fax Number:
360-814-5828
Provider Enumeration Date:
12/05/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  SLP.LL.00004138 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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