Provider Demographics
NPI:1225608904
Name:HENSON, TAYLOR ROGERS (MS)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:ROGERS
Last Name:HENSON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 CEDAR VIEW LN
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28716-6084
Mailing Address - Country:US
Mailing Address - Phone:828-734-0022
Mailing Address - Fax:
Practice Address - Street 1:46 S MAIN ST
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28786-6701
Practice Address - Country:US
Practice Address - Phone:828-944-4474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-25
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist