Healthcare Provider Details

I. General information

NPI: 1235041856
Provider Name (Legal Business Name): KATHERINE JENSEN M.S., CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9211 FOREST HILL AVE STE 101
RICHMOND VA
23235-6877
US

IV. Provider business mailing address

7063 RIVER PINE CT
MECHANICSVILLE VA
23111-5241
US

V. Phone/Fax

Practice location:
  • Phone: 804-924-4047
  • Fax:
Mailing address:
  • Phone: 804-971-6198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2204001898
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: