Individual
LAUREL ELISE HENEGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPE
Contact information
Practice address
6350 W ANDREW JOHNSON HIGHWAY, TALBOTT, TN 37877
(423) 587-7337
(423) 714-2355
Mailing address
6350 W A J HWY, DEPARTMENT 100, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
PE1467
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5441416
—
TN
Enumeration date
01/09/2006
Last updated
02/01/2013
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