Individual provider Active NPI

Gail Henig, MA CCC-SLP

  • Speech-Language Pathologist
  • Grand Blanc, MI
National Provider Identifier
1073754248
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
01129320 Issued in MI
Practice address
8245 Holly Rd
Suite 204
Grand Blanc, MI 48439-2443
Phone
(810) 603-0040
Fax
(810) 603-0044
NPI assigned
Mar 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 01129320 MI Primary

Addresses

Primary practice location

8245 Holly Rd
Suite 204
Grand Blanc, MI 48439-2443

Mailing address

8245 Holly Rd
Suite 204
Grand Blanc, MI 48439-2443
Phone (810) 603-0040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
01129320MIMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237248000000",
    "number": "1073754248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8245 HOLLY RD",
            "address_2": "SUITE 204",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392443",
            "telephone_number": "810-603-0040",
            "fax_number": "810-603-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8245 HOLLY RD",
            "address_2": "SUITE 204",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392443",
            "telephone_number": "810-603-0040",
            "fax_number": "810-603-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENIG",
        "first_name": "GAIL",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "01129320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.