Provider Demographics
NPI:1962761585
Name:BEHRENDT, WHITNEY ANDERSON (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:ANDERSON
Last Name:BEHRENDT
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:MS
Other - First Name:WHITNEY
Other - Middle Name:A
Other - Last Name:WATERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:86 WEST ROAD
Mailing Address - Street 2:
Mailing Address - City:WATERBORO
Mailing Address - State:ME
Mailing Address - Zip Code:04087
Mailing Address - Country:US
Mailing Address - Phone:207-247-3221
Mailing Address - Fax:207-247-3477
Practice Address - Street 1:57 BELLEVUE AVE
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-3501
Practice Address - Country:US
Practice Address - Phone:802-353-0158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-16
Last Update Date:2018-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist