Provider Demographics
NPI:1881378016
Name:HENDON, ABIGAIL MAKENZIE
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:MAKENZIE
Last Name:HENDON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1353 SUNNYBROOK LN
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-5742
Mailing Address - Country:US
Mailing Address - Phone:317-694-2965
Mailing Address - Fax:
Practice Address - Street 1:295 VILLAGE LN
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-2440
Practice Address - Country:US
Practice Address - Phone:317-881-2591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INPENDING235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist