| Doctor Name: | DR. MICHAEL HENDERY |
| NPI Number: | 1003981374 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | |
| Business Practice Address: | 2 Washington St Suite 314 Dover, NH - 038203890 |
| Business Phone Number: | 6039535254 |
| Business Fax Number: | 6034303753 |
| Mailing Address: | 2 Washington St, Suite 314 DOVER |
| State: | NH |
| Postal Code: | 038203890 |
| Phone Number: | 6039535254 |
| Fax Number: | 6034303753 |
| NPI Enumeration Date: | 11/22/2006 |
| NPI Last Update Date: | 01/07/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |