Leslie Thompson Henson, MA,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

01372 Issued in MO

Practice address

1906B Greenwood Dr
Poplar Bluff, MO 63901-2430

Phone

(573) 785-6809

Fax

(573) 785-8005

NPI assigned

Mar 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• John O. Wood Psychological Services

  • Community/Behavioral Health Agency
  • Poplar Bluff, MO
  • NPI 1346560869
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215068903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906B GREENWOOD DR",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012430",
            "telephone_number": "573-785-6809",
            "fax_number": "573-785-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906B GREENWOOD DR",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012430",
            "telephone_number": "573-785-6809",
            "fax_number": "573-785-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "LESLIE",
        "middle_name": "THOMPSON",
        "name_prefix": "Ms.",
        "credential": "MA,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "01372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy D. Helm, MSW, LCSW
• Heather Nichole Henry
• Shana Georgeann Hensel
• Katie Allison Hensley
• Dennis D Henson, RPH
• Justin Dwain Herman, HIS
• Nancy Herzog
• Tia Heskett, APRN
• Joseph Hessling
• Bryn Hester

• Speech-Language Pathologist in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Speech-Language Pathologist in Missouri

• 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.