Individual
DR. MICHAEL HENDERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2 WASHINGTON ST, SUITE 314, DOVER, NH 03820-3890
(603) 953-5254
(603) 430-3753
Mailing address
2 WASHINGTON ST, SUITE 314, DOVER, NH 03820-3890
(603) 953-5254
(603) 430-3753
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
1179
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7706655Y0NH01
BHN
NH
05
—
99003227
—
NH
Enumeration date
11/22/2006
Last updated
01/07/2009
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