Provider Demographics
NPI:1407255763
Name:HENSON, VERONICA ERIN (AUD)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:ERIN
Last Name:HENSON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3120 S RAINBOW BLVD
Mailing Address - Street 2:STE 202
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-6236
Mailing Address - Country:US
Mailing Address - Phone:702-233-4327
Mailing Address - Fax:702-233-8837
Practice Address - Street 1:3120 S RAINBOW BLVD
Practice Address - Street 2:STE 202
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-6236
Practice Address - Country:US
Practice Address - Phone:702-233-4327
Practice Address - Fax:702-233-8837
Is Sole Proprietor?:No
Enumeration Date:2014-08-21
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAUD146231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist