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KYRA ELISE HENDERSON MS
NPI 1710558317
Speech-Language Pathologist in Petaluma, CA

Active since July 05, 2021

NPPES record last updated: July 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kyra Elise Henderson Ms NPPES

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

KYRA ELISE HENDERSON MS (NPI 1710558317) is an individual speech-language pathologist provider in Petaluma, California and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1710558317
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKYRA ELISE HENDERSONCredential: MS
Location Address1115 B STPetaluma, CA 94952-4028
Mailing Address411 15th Ave Apt 21San Francisco, CA 94118-2827 · (714) 296-6108
Phone(707) 765-3030
Sole ProprietorNo
Enumeration DateJuly 5, 2021
NPPES CertifiedJuly 5, 2021
✔ NPI 1710558317 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
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.
1115 B ST, Petaluma, CA 94952
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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELSEY DAWN ZAMBRASKI MOT, OTR/L
Occupational Therapist
1115 B ST
PETALUMA, CA 94952
Sonoma County (845) 249-0292
MICHELLE GARCIA
Physical Therapist
1115 B ST
PETALUMA, CA 94952
Sonoma County (707) 765-3030
APTB, LLC
Skilled Nursing Facility
1115 B ST
PETALUMA, CA 94952
Sonoma County (707) 765-3030
RILEIGH MICHELLE VARGA OTD
Occupational Therapist
1115 B ST
PETALUMA, CA 94952
Sonoma County (707) 765-3030
LORRAINE FINNEGAN
Occupational Therapist
1115 B ST
PETALUMA, CA 94952
Sonoma County (707) 765-3030
SKYLER J MOON
Occupational Therapist
1115 B ST
PETALUMA, CA 94952
Sonoma County (707) 765-3030
SARAH ANNE WILLBERGH OTR/L
Occupational Therapist
1115 B ST
PETALUMA, CA 94952
Sonoma County (707) 765-3030
ALEJANDRO DANIEL CARRANZA
Speech-Language Pathologist
1115 B ST
PETALUMA, CA 94952
Sonoma County (707) 765-3030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyra Henderson's NPI number?

The NPI number for Kyra Henderson is 1710558317. It was assigned to this individual provider in the NPPES registry on July 5, 2021.

Where is Kyra Henderson located?

Kyra Henderson practices at 1115 B St, Petaluma, CA 94952. The listed phone number is (707) 765-3030.

What is Kyra Henderson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Kyra Henderson was last updated on July 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.