Provider Demographics
NPI:1710125836
Name:HENRY, APRIL STELLY (MA,CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:STELLY
Last Name:HENRY
Suffix:
Gender:F
Credentials:MA,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6330 W MORGAN DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-7033
Mailing Address - Country:US
Mailing Address - Phone:337-298-5511
Mailing Address - Fax:
Practice Address - Street 1:6330 W MORGAN DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303-7033
Practice Address - Country:US
Practice Address - Phone:337-298-5511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-27
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5784235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist