Provider Demographics
NPI:1598143976
Name:HENKEL, MONICA LYNN (BC-HIS)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:LYNN
Last Name:HENKEL
Suffix:
Gender:F
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2388 WHITE MARSH DR
Mailing Address - Street 2:
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-1398
Mailing Address - Country:US
Mailing Address - Phone:330-606-8294
Mailing Address - Fax:
Practice Address - Street 1:8975 DARROW RD
Practice Address - Street 2:
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-1963
Practice Address - Country:US
Practice Address - Phone:330-425-1339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-18
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03018237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist