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Contact Information

SHELLY L HENDERSON HANSEN
3756 GRAND AVE
SUITE 401
OAKLAND, CA94610
 Phone: 510-444-8732
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for SHELLY L HENDERSON HANSEN · (Female)

NPI # 1033459409
Status Active
Credentials
Entity Individual
Enumeration date 02/22/2013
Last updated 02/22/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 16661
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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