Individual
DR. LARRY KEITH HENRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
LA TECH UNIVERSITY SPEECH HEARING CTR, ROBINSON HALL - ROOM 218, RUSTON, LA 71272-0001
(318) 257-4764
(318) 257-4492
Mailing address
117 N PINECREST DR, RUSTON, LA 71270-2859
(318) 251-9231
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
5708
LA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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