Provider Demographics
NPI:1427447416
Name:HENSLEY, JUDY L (BA)
Entity type:Individual
Prefix:MS
First Name:JUDY
Middle Name:L
Last Name:HENSLEY
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 BUCKINGHAM
Mailing Address - Street 2:
Mailing Address - City:NEWCASTLE
Mailing Address - State:OK
Mailing Address - Zip Code:73065-4157
Mailing Address - Country:US
Mailing Address - Phone:405-392-2615
Mailing Address - Fax:
Practice Address - Street 1:1012 BUCKINGHAM
Practice Address - Street 2:
Practice Address - City:NEWCASTLE
Practice Address - State:OK
Practice Address - Zip Code:73065-4157
Practice Address - Country:US
Practice Address - Phone:405-392-2615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-14
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator