Provider Demographics
NPI:1447311519
Name:SENA, CAROL LITTLE (M D)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:LITTLE
Last Name:SENA
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2029 LA DORA DR
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-9664
Mailing Address - Country:US
Mailing Address - Phone:336-280-0215
Mailing Address - Fax:336-641-3580
Practice Address - Street 1:2029 LA DORA DR
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-9664
Practice Address - Country:US
Practice Address - Phone:336-280-0215
Practice Address - Fax:336-641-3580
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC278822084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC897520CMedicaid
NC897520CMedicaid
NC210304FMedicare PIN
NCC86387Medicare UPIN