Daniel Thomas Henderson, MA/CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

29643 Issued in CA

Practice address

4701 Grand Ave S Apt 5
Minneapolis, MN 55419-5445

Phone

(901) 483-2092

NPI assigned

Oct 28, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1427658558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 GRAND AVE S APT 5",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554195445",
            "telephone_number": "901-483-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 GRAND AVE S APT 5",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554195445",
            "telephone_number": "901-483-2092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1917 Oakhampton Pl",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370274830",
            "country_code": "US",
            "telephone_number": "901-483-2092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2175 Rosaline Ave",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960012549",
            "country_code": "US",
            "telephone_number": "530-225-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "DANIEL",
        "middle_name": "THOMAS",
        "credential": "MA/CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-28",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "29643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melisa Hemphill
• Kathryn Crane Hemstreet
• Anna Hemze, MSW, LICSW
• Karen Jean Hendershott, MD
• Chanelle Henderson
• Jana Henderson, O.T.
• Laura Kirsten Henderson, DNP, ARPN, WHNP-BC
• David Alton Hendrick, MD
• Alissa Amalia Hendrickson, PT
• Anne M Hendrickson, PA-C

• Speech-Language Pathologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.