| Doctor Name: | LORI DENISE HENSON |
| NPI Number: | 1326364126 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A.,CCC-SLP |
| License Number: | 3475 |
| Business Practice Address: | 4870 S Lewis Ave Suite 242 Tulsa, OK - 741055151 |
| Business Phone Number: | 9187061375 |
| Business Fax Number: | 9182242376 |
| Mailing Address: | 616 Cross Timbers Blvd, SAPULPA |
| State: | OK |
| Postal Code: | 740668220 |
| Phone Number: | 9187061375 |
| Fax Number: | 9182242376 |
| NPI Enumeration Date: | 04/19/2010 |
| NPI Last Update Date: | 04/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 3475 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |