Active NPI
Patricia L Hendricks
- Speech-Language Pathologist
- Havre de Grace, MD
National Provider Identifier
1487126496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 01238
- Practice address
- 910 Graceview Dr
Havre de Grace, MD 21078-2329 - Phone
- (410) 939-6622
- NPI assigned
- Jan 2, 2019
- Last updated
- Jan 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 01238 | MD | Primary |
Addresses
Primary practice location
910 Graceview Dr
Havre de Grace, MD 21078-2329
Mailing address
629 Robinhood Rd
Havre de Grace, MD 21078-1915
Phone (410) 939-0936
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01238 | MD | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546387200000",
"number": "1487126496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629 ROBINHOOD RD",
"city": "HAVRE DE GRACE",
"state": "MD",
"postal_code": "210781915",
"telephone_number": "410-939-0936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 GRACEVIEW DR",
"city": "HAVRE DE GRACE",
"state": "MD",
"postal_code": "210782329",
"telephone_number": "410-939-6622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICKS",
"first_name": "PATRICIA",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-02",
"last_updated": "2019-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "01238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Havre de Grace, MD
- Havre de Grace Ambulance Corps Inc
- Health Care for Children,LLC
- Healthlink Primary Care Clinic
- Hearing Associates, Inc
- Kayla Ann Heinz, CRNP
- Larry Hensly, MS, NCC
- Herber Brett Friedman, DDS, LLC (Union Dental Center)
- Herbert Brett Friedman DDS LLC Dba Union Dental Center (union dental center)
- Ken Raymond Herman Jr., PMHNP-BC
- David G. Hernandez, M.S., CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.