Basic Information
| Provider Information | |||||||||
| NPI: | 1447311519 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SENA | ||||||||
| FirstName: | CAROL | ||||||||
| MiddleName: | LITTLE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M. D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2029 LA DORA DR | ||||||||
| Address2: | |||||||||
| City: | HIGH POINT | ||||||||
| State: | NC | ||||||||
| PostalCode: | 272659664 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3362800215 | ||||||||
| FaxNumber: | 3366413580 | ||||||||
| Practice Location | |||||||||
| Address1: | 2029 LA DORA DR | ||||||||
| Address2: | |||||||||
| City: | HIGH POINT | ||||||||
| State: | NC | ||||||||
| PostalCode: | 272659664 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3362800215 | ||||||||
| FaxNumber: | 3366413580 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/13/2006 | ||||||||
| LastUpdateDate: | 01/10/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | 27882 | NC | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
ID Information
| ID | Type | State | Issuer | Description | 897520C | 05 | NC | MEDICAID |