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NPI Code Detail

MEDICARE: JESSICA RENEE HENSON SLP

MEDICARE: JESSICA RENEE HENSON SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist108112TX

General Provider Information

NPI Number : 1548671704
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA RENEE HENSON SLP
Provider Business Mailing Address
First Line : 1720 HEIGHTS DR
Second Line :
City : KATY
State : TX
Zip : 77493-1721
Country : US
Telephone Number : 907-306-6990
Fax Number :
Provider Business Practice Location Address
First Line : 1720 HEIGHTS DR
Second Line :
City : KATY
State : TX
Zip : 77493-1721
Country : US
Telephone Number : 907-306-6990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2014
Last Update Date : 06/25/2024

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Directions to “ JESSICA RENEE HENSON SLP” Practice Location

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