Individual
LAURA SUE HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD LP
Contact information
Practice address
6401 UNIVERSITY AVE NE, BHSI LLC SUITE 304, FRIDLEY, MN 55432-4344
(651) 769-6250
(651) 769-6299
Mailing address
2497 7TH AVE E, CO BHSI LLC, NORTH ST PAUL, MN 55109-2496
(651) 769-6437
(651) 769-6426
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP2072
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9662597000
—
MN
Enumeration date
10/25/2006
Last updated
07/08/2007
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