Henson, Loretta Pearle
Henson, Loretta Pearle is an sole proprietor health care provider with primary practice located at 123 W Cascade Ave , River Falls WI 54022-2222. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Henson, Loretta Pearle can be contacted via phone (715) 426-4967.Contact Information
Primary practice address
123 W Cascade Ave
River Falls WI 54022-2222
Phone: (715) 426-4967
Fax: (715) 426-0985
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2135-057 | Wisconsin |
Profile Details
| NPI number | 1831362839 |
|---|---|
| LBN Legal business name | Henson, Loretta Pearle |
| Credentials | PHD., LP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2008 |
| Last updated | Apr 10th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831362839 | NPPES |
| Wisconsin | MEDICAID | 39766700 |
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