Provider Demographics
NPI:1285877373
Name:HENDELMAN, RUTH (MA, CCC/A)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:HENDELMAN
Suffix:
Gender:F
Credentials:MA, CCC/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17223 VILLAGE LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-6048
Mailing Address - Country:US
Mailing Address - Phone:972-930-9725
Mailing Address - Fax:
Practice Address - Street 1:17223 VILLAGE LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-6048
Practice Address - Country:US
Practice Address - Phone:972-930-9725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-20
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50153237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter