Healthcare Provider Details

I. General information

NPI: 1699893131
Provider Name (Legal Business Name): KAREN LYNN HENSON MA, LPA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAREN LYNN BROWN MA, LPA

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 01/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4360 COUNTY HOME ROAD
CONOVER NC
28613
US

IV. Provider business mailing address

4360 COUNTY HOME ROAD
CONOVER NC
28613
US

V. Phone/Fax

Practice location:
  • Phone: 828-465-7668
  • Fax: 828-256-7711
Mailing address:
  • Phone: 828-465-7668
  • Fax: 828-256-7711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberLPA 1828
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1828
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: