| Doctor Name: | ANDREA HENDRICKS |
| NPI Number: | 1700216199 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D |
| License Number: | 1763 |
| Business Practice Address: | 402 Office Park Dr Mountain Brk, AL - 352232417 |
| Business Phone Number: | 2052021428 |
| Business Fax Number: | |
| Mailing Address: | 402 Office Park Dr, MOUNTAIN BRK |
| State: | AL |
| Postal Code: | 352232417 |
| Phone Number: | 2052021428 |
| Fax Number: | |
| NPI Enumeration Date: | 11/21/2013 |
| NPI Last Update Date: | 11/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1763 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |