Dennis L. Herendeen, Ph.D., P.C. in Douglasville - Clinical
Dennis L. Herendeen, Ph.D., P.C. - NPI 1336363928
Dennis L. Herendeen, Ph.D., P.C. is a Clinical in Douglasville, Georgia. Dennis L. Herendeen, Ph.D., P.C. practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dennis L. Herendeen, Ph.D., P.C. is 1336363928. The last update date is 2020-08-22.
Dennis L. Herendeen, Ph.D., P.C.'s current location address is 6130 Prestley Mill Rd Ste A, Douglasville, Georgia. You can contact this provider via phone number 7709499675 and fax number 7709499676. The mailing address for Dennis L. Herendeen, Ph.D., P.C. is 6130 Prestley Mill Rd Ste A, Douglasville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dennis L. Herendeen, Ph.D., P.C. |
|---|---|
| Address | 6130 Prestley Mill Rd Ste A, Douglasville, Georgia |
| Phone Number | 7709499675 |
| Fax Number | 7709499676 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Herendeen Lloyd Dennis |
| Credentials | PH.D. |
| Telephone Number | 7709499675 |
NPI Number Detail
| NPI Number | 1336363928 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6130 Prestley Mill Rd Ste A |
|---|---|
| City | Douglasville |
| State | Georgia (GA) |
| Post Code | 301342288 |
| Phone Number | 7709499675 |
| Fax Number | 7709499676 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY000444 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the Dennis L. Herendeen, Ph.D., P.C.'s 1336363928?
The Dennis L. Herendeen, Ph.D., P.C.'s NPI (National Provider Identifier) Number is 1336363928. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Dennis L. Herendeen, Ph.D., P.C. located?
The Dennis L. Herendeen, Ph.D., P.C. is located at 6130 Prestley Mill Rd Ste A, Douglasville, GA 301342288.
What is Dennis L. Herendeen, Ph.D., P.C.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dennis L. Herendeen, Ph.D., P.C. is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1336363928 to Dennis L. Herendeen, Ph.D., P.C.?
The Centers for Medicare & Medicaid Services assigned the 1336363928 to Dennis L. Herendeen, Ph.D., P.C. on 2007-04-13.
As of what date was the information regarding Dennis L. Herendeen, Ph.D., P.C., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Dennis L. Herendeen, Ph.D., P.C., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.