Provider Demographics
NPI:1023993185
Name:WEBB-HENDERSON, SCARLET DAWN (SLP)
Entity type:Individual
Prefix:
First Name:SCARLET
Middle Name:DAWN
Last Name:WEBB-HENDERSON
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8505 WOODED GLEN CT
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40220-2946
Mailing Address - Country:US
Mailing Address - Phone:502-445-2304
Mailing Address - Fax:
Practice Address - Street 1:4600 BOWLING BLVD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-5155
Practice Address - Country:US
Practice Address - Phone:502-281-0576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY138238235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist