MEDICARE: CHRISTINE HENN M.S., CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SL010431	PA

General Provider Information

NPI Number	:	1578870226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE HENN M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	100 N ACADEMY AVE
Second Line	:
City	:	DANVILLE
State	:	PA
Zip	:	17822-4903
Country	:	US
Telephone Number	:	570-718-4140
Fax Number	:	570-718-4141

Provider Business Practice Location Address
First Line	:	190 WELLES ST STE 128
Second Line	:
City	:	FORTY FORT
State	:	PA
Zip	:	18704-4961
Country	:	US
Telephone Number	:	570-718-4140
Fax Number	:	570-718-4141

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2010
Last Update Date	:	02/19/2026

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Directions to “ CHRISTINE HENN M.S., CCC-SLP” Practice Location

Language	Start Address	Practice Location

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