MEDICARE: MRS. JENNIFER LEE HENDON 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	2191	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	5Y515	OTHER	AR	PRIVATE INSURANCE

General Provider Information

NPI Number	:	1922047158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER LEE HENDON CCC-SLP

Provider Business Mailing Address
First Line	:	1423 STARFIELD RD
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72116-9252
Country	:	US
Telephone Number	:	501-952-7693
Fax Number	:	501-753-3088

Provider Business Practice Location Address
First Line	:	1423 STARFIELD RD
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72116-9252
Country	:	US
Telephone Number	:	501-952-7693
Fax Number	:	501-753-3088

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

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	05/14/2026

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Directions to “ MRS. JENNIFER LEE HENDON CCC-SLP” Practice Location

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