Doctor Name: | DR. ALAN LUIS HENSLEY |
NPI Number: | 1003121005 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 1945 |
Business Practice Address: | 11329 P St # 108 Omaha, NE - 681372315 |
Business Phone Number: | 4026501101 |
Business Fax Number: | 4025972122 |
Mailing Address: | 11329 P St # 108, OMAHA |
State: | NE |
Postal Code: | 681372315 |
Phone Number: | 4026501101 |
Fax Number: | 4025972122 |
NPI Enumeration Date: | 08/13/2010 |
NPI Last Update Date: | 07/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1945 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |