Carolyn Jean Hendricks in De Pere - Psychiatry

Carolyn Jean Hendricks - NPI 1952557647

Carolyn Jean Hendricks is a Psychiatry in De Pere, Wisconsin. Carolyn Jean Hendricks practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Carolyn Jean Hendricks is 1952557647. The last update date is 2022-02-09.

Carolyn Jean Hendricks's current location address is 1881 Chicago St, De Pere, Wisconsin. You can contact this provider via phone number 9204038209. The mailing address for Carolyn Jean Hendricks is 1881 Chicago St, De Pere, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Carolyn Jean Hendricks
Address 1881 Chicago St, De Pere, Wisconsin
Phone Number 9204038209
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1952557647
Provider Enumeration Date 2008-08-13
Last Updated Date 2022-02-09

Provider Mailing Address Detail

Address 1881 Chicago St
City De Pere
State Wisconsin (WI)
Post Code 541153770
Phone Number 9204038209
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 53895
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ENROLLED IA --
ENROLLED MN --

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FAQs about Carolyn Jean Hendricks

What is the unique provider identifier assigned to Carolyn Jean Hendricks?

The Carolyn Jean Hendricks has been issued the NPI (National Provider Identifier) 1952557647 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Carolyn Jean Hendricks's facilities are situated?

The facilities of Carolyn Jean Hendricks are physically located at the following address: 1881 Chicago St, De Pere, WI, 541153770.

What is Carolyn Jean Hendricks's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Carolyn Jean Hendricks is Psychiatry, and the corresponding taxonomy classification code for this specialized field is 2084P0800X.

On what date did the Carolyn Jean Hendricks receive the assignment of its 1952557647 from the Centers for Medicare & Medicaid Services?

The Carolyn Jean Hendricks was issued its 1952557647 by the Centers for Medicare & Medicaid Services on 2008-08-13.

When was the information regarding Carolyn Jean Hendricks, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Carolyn Jean Hendricks, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-02-09.

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