MRS. SHELLY LYNN HENDERSON-HANSEN


Address: 3756 Grand Ave, Suite 401, Oakland, CA 94610
Phone: 5104448732

MRS. SHELLY LYNN HENDERSON-HANSEN (NPI# 1033459409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033459409
Entity Type Individual
Full Name MRS. SHELLY LYNN HENDERSON-HANSEN
Other Name SHELLY LYNN HENDERSON
Practice Address 3756 Grand Ave
Suite 401
Oakland
CA 94610
Practice Telephone 5104448732
Mailing Telephone 5104448732
Enumeration Date 2013-02-22
Last Update Date 2013-02-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 16661 CA Speech, Language and Hearing Service Providers

Office Location

Street Address 3756 GRAND AVE
SUITE 401
City OAKLAND
State CA
Zip Code 94610

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NPI Name Taxonomy Address Enumeration
1568092617 Meena Saleh Clinical Neuropsychologist 3756 Grand Ave, Ste 404, Oakland, CA 94610-1545 2020-01-16

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1073042628 Thien Lake Acupuncture Clinic/Center 3654 Grand Aveune, Oakland, CA 94610 2017-06-07
1508239302 Montserrat Corsino Acupuncturist 493 Prince St, Oakland, CA 94610 2015-11-03
1376978593 Mazen Abudllah Basidiq Registered Nurse 271 Jayne Ave. Suite # 11, Oakland, CA 94610 2013-09-06
1740523026 Katiah Llerena Psychologist 414 Lake Park Ave, #595, Oakland, CA 94610 2013-04-04
1013267806 Sara-jean Lizabeth Bartky Speech-Language Pathologist 55 Santa Clara Ave #203, Oakland, CA 94610 2012-09-19
1053667139 Juanita Lerma Hernandez-morin Counselor 1375 55th Street, Emeryville, CA 94610 2012-07-26
1396030672 Catherine Maness Marriage & Family Therapist 123 Bay Place, Ste 6, Oakland, CA 94610 2011-06-14
1871807529 Jaime Beth Levy Marriage & Family Therapist 1001 Warfield Ave Apt 103, Oakland, CA 94610 2010-08-04
1649584723 Leticia Mendoza-sobel Dentist 1333 Grand Avenue, Piedmont, CA 94610 2010-08-02
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730797432 Roberta Elman Speech-Language Pathologist 3996 Lyman Rd, Oakland, CA 94602-1857 2020-07-19
1093354722 Monique Dunn-little Speech-Language Pathologist 2101 Livingston St, Oakland, CA 94606-5218 2019-12-28
1306494281 Elizabeth Uduehi Speech-Language Pathologist 3666 Grand Ave, Oakland, CA 94610-2046 2019-09-03
1659936193 Tara Nelson Speech-Language Pathologist 2436 66th Ave, Oakland, CA 94605-1917 2019-05-09
1922560127 Sarah Power Speech-Language Pathologist 3666 Grand Ave Ste A, Oakland, CA 94610-2046 2019-04-05
1649731589 Manrup Khatkar Speech-Language Pathologist 2210 10th Ave Apt 105, Oakland, CA 94606-2656 2019-03-25
1205304441 Ashley Kippins Speech-Language Pathologist 6325 Camden St, Oakland, CA 94605-1640 2018-11-06
1053809046 Beatriz Elena Larroude Speech-Language Pathologist 3640 Grand Ave Ste 102, Oakland, CA 94610-2023 2018-04-25
1790272193 Laura Paget Speech-Language Pathologist 311 Oak St Apt 715, Oakland, CA 94607-4613 2018-04-20
1972004091 Sarah Halls Speech-Language Pathologist 3645 Grand Ave Ste 304, Oakland, CA 94610-2040 2018-02-23
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Competitor

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City OAKLAND
Zip Code 94610

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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