Active NPIIndividual provider

Shanisa Hendricks

Speech-Language Pathologist, in Westfield, New Jersey

NPI Number1407564529
Practice location
121 S Euclid Ave, Westfield, NJ 07090-2129
Fax
—
Last updated
February 5, 2025

Shanisa Hendricks is a Speech-Language Pathologist, based in Westfield, NJ. Shanisa Hendricks practices in Westfield, NJ. The NPI Number for Shanisa Hendricks is 1407564529 and holds a License No. TL-3963 (NJ). The current practice location address for Shanisa Hendricks is 121 S Euclid Ave, Westfield, NJ 07090-2129 and can be reached out via phone at 908-232-2903.

Provider Profile Details

NPI Number
1407564529
Provider Name
Shanisa Hendricks
Provider Entity Type
Individual
Gender
Female
Address
121 S Euclid Ave, Westfield, NJ 07090-2129
Phone Number
908-232-2903
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
November 8, 2022
Last Update Date
February 5, 2025
Certification Date
February 5, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
121 S Euclid Ave
Westfield, NJ 07090-2129
Zip
07090-2129
Phone Number
908-232-2903
Westfield, NJ 07090Get directions →

Provider Business Mailing Address Details

Address
28 Valley RD Ste 1
Montclair, NJ 07042-2709
City
Montclair
State
NJ
Zip
07042-2709
Phone Number
732-893-7673

License Information

License Number (1)
TL-3963
License State (1)
NJ
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X
License Number (2)
41S01209600
License State (2)
NJ
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shanisa Hendricks?

The NPI number of Shanisa Hendricks is 1407564529. It was assigned on November 8, 2022 and is currently active in the NPPES registry.

What is the specialty of Shanisa Hendricks?

Shanisa Hendricks is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number TL-3963.

Where does Shanisa Hendricks practice?

The practice location is 121 S Euclid Ave, Westfield, NJ 07090-2129. The office can be reached at 908-232-2903 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407564529 directly on the NPPES registry website.

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