Amy Henneman, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL010369 Issued in PA

Practice address

501 Pheasant Rd
Reading, PA 19607-9639

Phone

(484) 818-0111

NPI assigned

May 3, 2011

Sex

Female

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 Science

State licenses

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1619269032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 PHEASANT RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196079639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PHEASANT RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196079639",
            "telephone_number": "484-818-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNEMAN",
        "first_name": "AMY",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL010369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Claymon Heisey Jr., M.D.
• Fredericka Sawyer Heller, M.D.
• Amy Lee Hendrix, N.P.
• Jason Errol Hendrix, D.O.
• Kathleen Mary Henley, D.O.
• Jordan Thomas Henning, LSW
• Kali Lyn Hepner, PA-C
• Melissa Hepp, RN BSN
• Caitlin Herb, LPC
• Hernandez Home Health Care Inc

• Speech-Language Pathologist in Reading, PA
• Providers in Reading, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.