Provider Demographics
NPI:1740413921
Name:HENRY, KAREN K (MA, CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:K
Last Name:HENRY
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 N RUSK ST
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76086-3318
Mailing Address - Country:US
Mailing Address - Phone:817-596-0024
Mailing Address - Fax:817-596-5297
Practice Address - Street 1:612 N RUSK ST
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-3318
Practice Address - Country:US
Practice Address - Phone:817-596-0024
Practice Address - Fax:817-596-5297
Is Sole Proprietor?:No
Enumeration Date:2009-09-03
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51137237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter