| Doctor Name: | MS. MONICA I. HENDERSHOT |
| NPI Number: | 1316945231 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LSCSW |
| License Number: | LSCSW 1211 |
| Business Practice Address: | 318 S Main St Pratt, KS - 671242750 |
| Business Phone Number: | 6206726168 |
| Business Fax Number: | |
| Mailing Address: | 318 S Main St, PRATT |
| State: | KS |
| Postal Code: | 671242750 |
| Phone Number: | 6206726168 |
| Fax Number: | |
| NPI Enumeration Date: | 07/13/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 03/17/2006 |
| NPI Reactivation Date: | 04/03/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LSCSW 1211 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |