| Doctor Name: | DR. RAY NONE HENDRICKSON |
| NPI Number: | 1508046640 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | PY2974 |
| Business Practice Address: | 245 Argyle Suite 4b Friday Harbor, WA - 98250 |
| Business Phone Number: | 3603784004 |
| Business Fax Number: | 3603782787 |
| Mailing Address: | Po Box 3142, FRIDAY HARBOR |
| State: | WA |
| Postal Code: | 982503142 |
| Phone Number: | 3603784004 |
| Fax Number: | 3603782787 |
| NPI Enumeration Date: | 11/06/2007 |
| NPI Last Update Date: | 11/06/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY2974 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |