| Doctor Name: | SUSAN MARTINA HENDERSON |
| NPI Number: | 1538109145 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RCSW |
| License Number: | 044657 |
| Business Practice Address: | 38-42 Front Street Ll Suite Binghamton, NY - 13905 |
| Business Phone Number: | 8005370634 |
| Business Fax Number: | 6077636471 |
| Mailing Address: | Box136, 26 Eaton Center 5yh Floor NORWICH |
| State: | NY |
| Postal Code: | 13815 |
| Phone Number: | 6073345010 |
| Fax Number: | 6073367326 |
| NPI Enumeration Date: | 06/08/2006 |
| NPI Last Update Date: | 09/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 044657 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |