Provider Demographics
NPI:1457459356
Name:HENSLEY, BARRY S (LICENSED SCHOOL PSYC)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:S
Last Name:HENSLEY
Suffix:
Gender:M
Credentials:LICENSED SCHOOL PSYC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2102
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-9505
Mailing Address - Country:US
Mailing Address - Phone:540-434-1494
Mailing Address - Fax:540-432-9814
Practice Address - Street 1:31 SOUTHGATE CT STE 101
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-9669
Practice Address - Country:US
Practice Address - Phone:540-434-1494
Practice Address - Fax:540-432-9814
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0803000015103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA080550OtherANTHEM