Tyler Henderson, MS, CF-SLP
Speech-Language Pathologist, in Sacramento, CA. Individual provider (NPI-1).
NPI number1316629231
StatusActive
Last updated in NPPESAug 1, 2023
Details
- NPI
- 1316629231
- Entity type
- Individual (NPI-1)
- Name
- Tyler Henderson
- Credential
- MS, CF-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2023
- Certification date
- Jul 31, 2023
- Last updated
- Aug 1, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 17966 | CA | Yes |
Practice location
3416 American River Dr Ste BSacramento, CA 95864-5753
Phone 916-979-0497
Mailing address
3416 American River Dr Ste BSacramento, CA 95864-5753
Phone 916-979-0497
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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