Doctor Name: | WENDY T. HENDRICKSON |
NPI Number: | 1801082417 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | E.D.D. |
License Number: | WO2717 |
Business Practice Address: | 3 28th St Newbury, MA - 019511514 |
Business Phone Number: | 9784620140 |
Business Fax Number: | 9784620140 |
Mailing Address: | 3 28th St, NEWBURY |
State: | MA |
Postal Code: | 019511514 |
Phone Number: | 9784620140 |
Fax Number: | 9784620140 |
NPI Enumeration Date: | 09/18/2007 |
NPI Last Update Date: | 09/18/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | WO2717 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |