Individual
MICHELE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
2430 5TH ST N, COLUMBUS, MS 39705-2000
(662) 327-4432
Mailing address
2430 5TH ST N, COLUMBUS, MS 39705-2000
(662) 327-4432
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A4373
MS
237600000X
Audiologist-Hearing Aid Fitter
A4373
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S3003
BLUE CROSS
—
01
—
S3004
BLUE CROSS
—
01
—
S3005
BLUE CROSS
—
Enumeration date
01/13/2006
Last updated
08/03/2021
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