Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kim Elaine Moore Henderson, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1144656877

Kim Elaine Moore Henderson, CCC-SLP is a Speech-Language Pathologist in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2013.

Licensed in
TX
In the registry since
2013
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

15911 Nacogdoches Rd
San Antonio, TX 78247-1107
Phone: (210) 599-7733
Fax: (210) 599-3105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 11612 (TX)

Record details

NPI number1144656877
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedSeptember 26, 2013
Last updated in NPPESSeptember 26, 2013

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