MS. PATRICIA MARY HENDRICKSON (NPI# 1346405743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346405743 |
| Entity Type | Individual |
| Full Name | MS. PATRICIA MARY HENDRICKSON |
| Credential | M.A. CCC-SLP |
| Practice Address |
162 E Broadway Monticello NY 12701-8815 |
| Mailing Address |
162 East Broadway Monticello NY 12701 |
| Practice Telephone | 8457961350 |
| Practice Fax Number | 8457961647 |
| Mailing Telephone | 8457961350 |
| Mailing Fax Number | 8457961647 |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-07-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 005927-1 | NY | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912930504 | Patricia Hendrickson | Nurse Practitioner | 2901 Transport St Se, Albuquerque, NM 87106 | 2006-07-08 |
| Street Address |
162 E BROADWAY |
| City | MONTICELLO |
| State | NY |
| Zip Code | 12701-8815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609985571 | Nysarc Inc. Sullivan County Chapter | Clinic/Center | 162 E Broadway, Monticello, NY 12701-8815 | 2006-08-30 |
| 1700420577 | Ashley Morales | Occupational Therapy Assistant | 162 E Broadway, Monticello, NY 12701-8815 | 2019-11-04 |
| 1972024909 | Katie Kelly | Occupational Therapist | 162 E Broadway, Monticello, NY 12701 | 2017-06-29 |
| 1952799231 | Robert Curtis Maskara | Physical Therapy Assistant | 162 E Broadway, Monticello, NY 12701-8815 | 2015-01-08 |
| 1952730533 | Deanna Burgio | Physical Therapy Assistant | 162 E Broadway, Monticello, NY 12701-8815 | 2013-11-05 |
| 1063859585 | Maureen D Kellerman-collins | Speech-Language Pathologist | 162 E Broadway, Monticello, NY 12701-8815 | 2013-05-23 |
| 1700123825 | Sullivan Arc | Day Training, Developmentally Disabled Services | 162 E Broadway, Monticello, NY 12701-8815 | 2013-01-09 |
| 1154579373 | Susan Eltz-furman | Dental Hygienist | 162 E Broadway, Monticello, NY 12701-8815 | 2008-08-29 |
| 1972768901 | Susan Lacey | Speech-Language Pathologist | 162 E Broadway, Monticello, NY 12701-8815 | 2008-07-18 |
| 1831350669 | Margaret J Anzano | Occupational Therapy Assistant | 162 E Broadway, Monticello, NY 12701-8815 | 2008-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346854023 | Julia Lynn Waldorf | Student in an Organized Health Care Education/Training Program | 141 Benmosche Road, Monticello, NY 12701 | 2020-09-01 |
| 1205450483 | Deanna Marie Prue | Speech-Language Pathologist | 141 Benmosche Rd, Monticello, NY 12701 | 2020-06-03 |
| 1114552262 | Lauren Madsen | Physical Therapist | 139 Benmosche Rd, Monticello, NY 12701 | 2020-03-10 |
| 1427696061 | Elderberry Icf | Intermediate Care Facility, Mentally Retarded | 15 Poem Place, Monticello, NY 12701 | 2019-12-13 |
| 1407301922 | Nicole M Casamassima | Speech-Language Pathologist | 640 Old Route 17, 641 Old Route 17, Monticello, NY 12701 | 2016-08-25 |
| 1144680018 | Deborah Jackson | Counselor | 17 Hamilton Avenue, Monticello, NY 12701 | 2016-03-04 |
| 1215354592 | Abdelhalim Zaghloul Nada | Physical Therapist | 427 Boardway, Suite #3, Mountain Physical Therapy, Monticello, NY 12701 | 2014-03-25 |
| 1720402795 | Christine Pham | Podiatrist | 427 Broadway Ste 2, Monticello, NY 12701 | 2014-02-12 |
| 1396095139 | Raquel Bottaro | Specialist | 504 South Woods Rd, Monticello, NY 12701 | 2012-09-19 |
| 1558620310 | Maria L Burns | Registered Nurse | 20 Crystal St, Monticello, NY 12701 | 2012-05-14 |
| Find all providers in zip 12701 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780200964 | Monica Rae Guffey | Speech-Language Pathologist | 153 High St, Monticello, KY 42633-1213 | 2020-06-23 |
| 1205450483 | Deanna Marie Prue | Speech-Language Pathologist | 141 Benmosche Rd, Monticello, NY 12701 | 2020-06-03 |
| 1992335202 | Caitlin Carroll Boland | Speech-Language Pathologist | 375 Morris Rd, Monticello, FL 32344-3105 | 2020-01-26 |
| 1700433869 | Rachel Caldwell | Speech-Language Pathologist | 2015 E Washington St, Monticello, IL 61856-2148 | 2019-08-23 |
| 1760977318 | Lacey Brown | Speech-Language Pathologist | 15 Patrick Rd, Monticello, KY 42633-8041 | 2018-06-26 |
| 1710421201 | Susan Akin | Speech-Language Pathologist | 280 Clyde Ross Dr, Monticello, AR 71655-5702 | 2016-12-19 |
| 1407301922 | Nicole M Casamassima | Speech-Language Pathologist | 640 Old Route 17, 641 Old Route 17, Monticello, NY 12701 | 2016-08-25 |
| 1952760993 | Kourtney Scott | Speech-Language Pathologist | 178 West College Street, Monticello, AR 71655-9194 | 2016-02-18 |
| 1457733354 | Jacqueline Marie Tish | Speech-Language Pathologist | 15 Westwood Dr, Monticello, IL 61856-8239 | 2015-06-26 |
| 1487050076 | Sara Tucker | Speech-Language Pathologist | 178 W. College Street, Monticello, AR 71655 | 2014-11-10 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 12701 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.