Laura Sue Henson, PSYD LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP2072 Issued in MN

Practice address

6401 University Ave NE
Bhsi LLC Suite 304
Fridley, MN 55432-4344

Phone

(651) 769-6250

Fax

(651) 769-6299

NPI assigned

Oct 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164506952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2497 7TH AVE E",
            "address_2": "CO BHSI LLC",
            "city": "NORTH ST PAUL",
            "state": "MN",
            "postal_code": "551092496",
            "telephone_number": "651-769-6437",
            "fax_number": "651-769-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 UNIVERSITY AVE NE",
            "address_2": "BHSI LLC SUITE 304",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554324344",
            "telephone_number": "651-769-6250",
            "fax_number": "651-769-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "LAURA",
        "middle_name": "SUE",
        "credential": "PSYD LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP2072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9662597000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jeffrey S Herman, MD
• Sharona Lee Hermes

• Clinical Psychologist in Fridley, MN
• Providers in Fridley, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.