NPI 1356512404 · live from the CMS NPI Registry
Luann Bookheimer Hendershot, AuD
Audiologist in Bridgeport, WV. National Provider Identifier 1356512404, active.
NPI record
| NPI | 1356512404 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 527 Medical Park Dr Ste 401, Bridgeport, WV 26330 |
| Practice phone | 681-342-3570 |
| Enumerated | March 17, 2008 |
| Last updated | July 21, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | A-0082 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.