Provider Demographics
NPI:1437892916
Name:HENSON, ERIN PARRY (SLP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:PARRY
Last Name:HENSON
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:PARRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:555 SE QUAIL RIDGE DR APT 2
Mailing Address - Street 2:
Mailing Address - City:PULLMAN
Mailing Address - State:WA
Mailing Address - Zip Code:99163-2453
Mailing Address - Country:US
Mailing Address - Phone:435-669-6529
Mailing Address - Fax:
Practice Address - Street 1:2261 DEER POINTE DR
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:WA
Practice Address - Zip Code:99403-5005
Practice Address - Country:US
Practice Address - Phone:435-669-6529
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-14
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDTSLP-5068235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist