Most Relevant Information
Provider Data
| NPI Number: | 1003046582 |
| Provider Name: | JENNIFER LEE HENDERSON M.ED, CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 4113 |
Most Important Dates
| Enumeration Date: | 07/20/2009 |
| Last Updated: | 03/27/2018 |
Provider Practice Location
9041 EXECUTIVE PARK DR STE 126
KNOXVILLE
TN
379234603
Practice Location Phone/Fax
| Phone: | 6782469425 |
| Fax: | 8657690801 |
Provider Mailing Location
9041 EXECUTIVE PARK DR STE 126
KNOXVILLE
TN
379234603
Provider Mailing Phone/Fax
| Phone: | 6782469425 |
| Fax: | 8657690801 |