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MICHELLE HENDRICKSON PH.D.

Clinical Child & Adolescent >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1245685783

Individual Registrant:
 MICHELLE  HENDRICKSON PH.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
11204 WAPLES MILL RD  FAIRFAX, VA 22030-6036 US
Tel: 703-218-2913  Fax: --

Contact information for business:
11204 WAPLES MILL RD  FAIRFAX, VA 22030-6036 US
Tel: --  Fax: --

Registration Information:
NPI: 1245685783
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC2200XBehavioral Health & Social Service Providers
Psychologist
Clinical Child & Adolescent
VA0810006292

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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