Healthcare Provider Details

I. General information

NPI: 1477885226
Provider Name (Legal Business Name): CATHY C. CROW HENDERSON AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH C. HENDERSON AU.D.

II. Dates (important events)

Enumeration Date: 02/04/2010
Last Update Date: 02/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 S UNIVERSITY AVE UALR SPEECH AND HEARING CLINIC, UNIVERSITY PLAZA 600
LITTLE ROCK AR
72204-1000
US

IV. Provider business mailing address

2801 S UNIVERSITY AVE UALR SPEECH AND HEARING CLINIC, UNIVERSITY PLAZA 600
LITTLE ROCK AR
72204-1000
US

V. Phone/Fax

Practice location:
  • Phone: 501-569-3155
  • Fax:
Mailing address:
  • Phone: 501-569-3155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License NumberA43
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberA43
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: