Provider Demographics
NPI:1942540760
Name:BARBARA T. HENKING, PH.D. INC
Entity Type:Organization
Organization Name:BARBARA T. HENKING, PH.D. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:T
Authorized Official - Last Name:HENKING
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:901-756-8398
Mailing Address - Street 1:PO BOX 1825
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38088-1825
Mailing Address - Country:US
Mailing Address - Phone:901-756-8398
Mailing Address - Fax:901-756-8701
Practice Address - Street 1:8820 TRINITY RD STE 202
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-2735
Practice Address - Country:US
Practice Address - Phone:901-756-8398
Practice Address - Fax:901-756-8701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-15
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP1299103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3680711Medicare PIN