NPI Search for Physicians and Health Care Providers
DEREK C. HENDERSON
School >> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1255835302
Individual Registrant:
DEREK C. HENDERSON
Gender: M
Not Sole Proprietor
Location and contact information for practice:
8270 WILLOW OAKS CORPORATE DR FL 3 FAIRFAX, VA 22031-4511 US
Tel: 703-645-6609 Fax: --
Contact information for business:
8270 WILLOW OAKS CORPORATE DR FL 3 FAIRFAX, VA 22031-4511 US
Tel: -- Fax: --
Registration Information:
NPI: 1255835302
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 103TS0200X | Behavioral Health & Social Service Providers Psychologist School | VA | PPS-0605222 |
Legacy codes, insurance codes and state license numbers:
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