Individual
LARISSA HENSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
6924 NW 112TH ST, OKLAHOMA CITY, OK 73162-2976
(405) 246-8777
Mailing address
6924 NW 112TH ST, OKLAHOMA CITY, OK 73162-2976
(405) 246-8777
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
OK
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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