LJ Henderson

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

33153 Issued in TX

Legal business name

LJ HENDERSON

Practice address

11711 Shadow Creek Pkwy
113
Pearland, TX 77584-7232

Phone

(713) 534-3119

Fax

(713) 436-3336

NPI assigned

Dec 28, 2010

Organization subpart

No

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

Authorized official

Name

Lasonja Henderson, SLP ASSISTANT

Title

Owner

Phone

(832) 289-5663

Specialties & licenses 1

Addresses

Other names 1

• TAKING KIDZ PLACES Doing business as

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1134423551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11711 SHADOW CREEK PKWY",
            "address_2": "113",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847232",
            "telephone_number": "713-534-3119",
            "fax_number": "713-436-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11711 SHADOW CREEK PKWY",
            "address_2": "113",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847232",
            "telephone_number": "713-534-3119",
            "fax_number": "713-436-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LJ HENDERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "LASONJA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-289-5663",
        "authorized_official_credential": "SLP ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "33153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAKING KIDZ PLACES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Assistant in Pearland, TX
• Providers in Pearland, TX by specialty
• Speech-Language Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.