Provider Demographics
NPI:1326274895
Name:HENRIQUEZ, FRANCA A (MS-CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:FRANCA
Middle Name:A
Last Name:HENRIQUEZ
Suffix:
Gender:F
Credentials:MS-CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3820 47TH AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-1814
Mailing Address - Country:US
Mailing Address - Phone:718-706-8706
Mailing Address - Fax:
Practice Address - Street 1:3820 47TH AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-1814
Practice Address - Country:US
Practice Address - Phone:718-706-8706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-10
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY07371-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist