Paul D. Henderson, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2887 Issued in OK

Practice address

2501 NW 80TH St
Lawton, OK 73505-1158

Phone

(580) 510-9811

NPI assigned

Oct 15, 2010

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 Science

State licenses

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1619287331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 NW 80TH ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735051158",
            "telephone_number": "580-510-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 NW 80TH ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735051158",
            "telephone_number": "580-510-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "PAUL",
        "middle_name": "D.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-15",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "2887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Tonja Heirigs
• Ralph Heirigs, MD
• Michael Lorenzo Heller, LPC
• Belinda Ann Henderson, M.S.,C.C.C.-SLP
• Nancy B Henderson, RN
• Trugina Henderson
• Burke Hendricks, DO
• Walter John Hendrix
• Heather Hennessey
• Esther Henning, LPN, ICCE, ICBD

• Speech-Language Pathologist in Lawton, OK
• Providers in Lawton, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.