Shirley Henderson in Meridian - Specialist
Shirley Henderson - NPI 1790768455
Shirley Henderson is a Specialist in Meridian, Idaho. Shirley Henderson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Shirley Henderson is 1790768455. The last update date is 2007-07-08.
Shirley Henderson's current location address is 108 W Crestwood Dr, Meridian, Idaho. You can contact this provider via phone number 2088871911 and fax number 2088958049. The mailing address for Shirley Henderson is 108 W Crestwood Dr, Meridian, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shirley Henderson |
|---|---|
| Address | 108 W Crestwood Dr, Meridian, Idaho |
| Phone Number | 2088871911 |
| Fax Number | 2088958049 |
| Sole Proprietor | X |
| Credentials | M. ED., L. |
NPI Number Detail
| NPI Number | 1790768455 |
|---|---|
| Provider Enumeration Date | 2005-11-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 108 W Crestwood Dr |
|---|---|
| City | Meridian |
| State | Idaho (ID) |
| Post Code | 836422800 |
| Phone Number | 2088871911 |
| Fax Number | 2088958049 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | LCPC 154 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 154 | ID | LCPC | |
| 3008 | ID | LICENSED MARRIAGE AND FAM |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Shirley Henderson by the Centers for Medicare & Medicaid Services?
The Shirley Henderson has been issued the NPI (National Provider Identifier) 1790768455, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Shirley Henderson?
The Shirley Henderson is physically situated at 108 W Crestwood Dr, in the city of Meridian, state of ID, with the postal code 836422800.
What is Shirley Henderson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shirley Henderson is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
When was the Shirley Henderson's 1790768455 issued?
The Shirley Henderson's 1790768455 was issued on 2005-11-26.
As of what date was the information pertaining to Shirley Henderson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shirley Henderson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.