LYNN MICHELE HENDRICKSON-ANDRES MS, CCC-SLP
NPI 1306375860
Speech-Language Pathologist in Roseville, CA

Active since June 08, 2017
588 N SUNRISE AVE STE 100, ROSEVILLE, CA 95661(916) 865-1130(916) 732-8857 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 7, 2026, Jun 8, 2017 (2 updates tracked since 2017).

About Lynn Michele Hendrickson-andres Ms, Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYNN MICHELE HENDRICKSON-ANDRES MS, CCC-SLP (NPI 1306375860) is an individual speech-language pathologist provider in Roseville, California, licensed in California (13031) and active in the NPI registry since June 2017. She maintains a secondary practice location in Sacramento and is a graduate of Other (2001).

NPPES Registry Identity

NPI1306375860
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameLYNN MICHELE HENDRICKSON-ANDRESCredential: MS, CCC-SLP
Location Address588 N SUNRISE AVE STE 100Roseville, CA 95661-2843
Mailing AddressPo Box 255228Sacramento, CA 95865-5228 · (800) 470-0071 · Fax (916) 854-6769
Fax(916) 732-8857
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 8, 2017
Last NPPES UpdateMay 7, 20262 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
NPI 1306375860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in CA · 13031
Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

588 N SUNRISE AVE STE 100, Roseville, CA 95661

Other Names 1

Other Name (5)Lynn Michele Hendrickson Ms, Ccc-slp

Secondary Practice Location 1

Location 11337 Howe Ave Ste 107Sacramento, CA 95825-3305 · Phone (916) 564-5010 · Fax (916) 564-5260

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lynn Michele Hendrickson-andres Ms, Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931674959
PECOS Enrollment IDI20260407003882

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Physical Therapist
588 N SUNRISE AVE STE 100
ROSEVILLE, CA 95661
Physical Therapist
588 N SUNRISE AVE STE 100
ROSEVILLE, CA 95661

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306375860, enumerated as an "individual" on June 08, 2017.

The provider is located at 588 N SUNRISE AVE STE 100 ROSEVILLE, CA 95661 and the phone number is (916) 865-1130.

Speech-Language Pathologist with taxonomy code 235Z00000X.