Shelly Lee Henderson in Sacramento - Clinical
Shelly Lee Henderson - NPI 1205097011
Shelly Lee Henderson is a Clinical in Sacramento, California. Shelly Lee Henderson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shelly Lee Henderson is 1205097011. The last update date is 2008-06-24.
Shelly Lee Henderson's current location address is 4860 Y St Ste 2300, Sacramento, California. You can contact this provider via phone number 9167346462 and fax number 9167345641. The mailing address for Shelly Lee Henderson is 4860 Y St Ste 2300, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelly Lee Henderson |
|---|---|
| Address | 4860 Y St Ste 2300, Sacramento, California |
| Phone Number | 9167346462 |
| Fax Number | 9167345641 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1205097011 |
|---|---|
| Provider Enumeration Date | 2008-06-24 |
| Last Updated Date | 2008-06-24 |
Provider Mailing Address Detail
| Address | 4860 Y St Ste 2300 |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958172307 |
| Phone Number | 9167346462 |
| Fax Number | 9167345641 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 21953 |
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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 unique identification code assigned to Shelly Lee Henderson by the Centers for Medicare & Medicaid Services?
The Shelly Lee Henderson has been issued the NPI (National Provider Identifier) 1205097011. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Shelly Lee Henderson's facilities are geographically located?
The facilities of Shelly Lee Henderson are physically situated at the following location: 4860 Y St Ste 2300, Sacramento, CA, 958172307.
What is Shelly Lee Henderson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shelly Lee Henderson's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
When did the Shelly Lee Henderson receive its 1205097011?
The Shelly Lee Henderson was issued its 1205097011 on 2008-06-24, which is the date when the organization was assigned this unique identifier.
When was the information regarding Shelly Lee Henderson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shelly Lee Henderson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-06-24.
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