Judith Blair Henderson in Golden Valley - Health Service

Judith Blair Henderson - NPI 1831132778

Judith Blair Henderson is a Health Service in Golden Valley, Minnesota. Judith Blair Henderson practices all healthcare services and medical treatments related to Health Service. The NPI Number for Judith Blair Henderson is 1831132778. The last update date is 2007-07-08.

Judith Blair Henderson's current location address is 5101 Olson Memorial Hwy, Golden Valley, Minnesota. You can contact this provider via phone number 7635957294 and fax number 7635957293. The mailing address for Judith Blair Henderson is 5101 Olson Memorial Hwy, Golden Valley, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Judith Blair Henderson
Address 5101 Olson Memorial Hwy, Golden Valley, Minnesota
Phone Number 7635957294
Fax Number 7635957293
Sole Proprietor X
Credentials PH.D.

NPI Number Detail

NPI Number 1831132778
Provider Enumeration Date 2006-06-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5101 Olson Memorial Hwy
City Golden Valley
State Minnesota (MN)
Post Code 554225149
Phone Number 7635957294
Fax Number 7635957293

Provider's Primary Taxonomy Detail

Speciality Health Service
Taxonomy 103Th0100X
Licence No LP3720
Definition:
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm

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FAQs about Judith Blair Henderson

What is the Judith Blair Henderson's unique identification number?

The Judith Blair Henderson has been assigned the NPI (National Provider Identifier) Number 1831132778 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Judith Blair Henderson's facilities are situated?

The facilities of Judith Blair Henderson are physically located at the following address: 5101 Olson Memorial Hwy, Golden Valley, MN, 554225149.

What is the Judith Blair Henderson's specialty and taxonomy code?

The Judith Blair Henderson's specialty is Health Service, and the corresponding taxonomy code is 103Th0100X.

On what date was the 1831132778 assigned to Judith Blair Henderson?

The Judith Blair Henderson was issued its 1831132778 on 2006-06-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Judith Blair Henderson most recently updated or revised?

The details related to Judith Blair Henderson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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