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NPI Code Detail

MEDICARE: GERI S. HENRY SLP

MEDICARE: GERI S. HENRY 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
1235Z00000XSpeech-Language PathologistSA5456FL

General Provider Information

NPI Number : 1720893225
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERI S. HENRY SLP
Provider Business Mailing Address
First Line : 3916 E HILLSBOROUGH AVE
Second Line :
City : TAMPA
State : FL
Zip : 33610-4542
Country : US
Telephone Number : 813-236-1755
Fax Number :
Provider Business Practice Location Address
First Line : 3916 E HILLSBOROUGH AVE
Second Line :
City : TAMPA
State : FL
Zip : 33610-4542
Country : US
Telephone Number : 813-236-1755
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2025
Last Update Date : 02/11/2025

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Directions to “ GERI S. HENRY SLP” Practice Location

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