Provider Demographics
NPI:1114193745
Name:HENSLEY, KAREN E (MED, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:E
Last Name:HENSLEY
Suffix:
Gender:F
Credentials:MED, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 PROVIDENCE RD STE 4
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2206
Mailing Address - Country:US
Mailing Address - Phone:919-667-8031
Mailing Address - Fax:
Practice Address - Street 1:323 E CHAPEL HILL ST
Practice Address - Street 2:#380
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-9997
Practice Address - Country:US
Practice Address - Phone:919-667-8031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-04
Last Update Date:2017-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7413062Medicaid