Individual
DR. GRETCHEN JENNIFER HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
155 MAIN STREET, NORTHAMPTON, MA 01060
(413) 586-5575
(413) 586-5575
Mailing address
155 MAIN STREET, NORTHAMPTON, MA 01060
(413) 586-5575
(413) 586-5575
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7176
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005330639
AETNA
MA
01
—
018742
VMC BEHAVIORAL HEALTHCARE
MA
01
—
127472
TRICARE CHAMPUS
MA
01
—
400456
TUFTS
MA
01
—
6142456
UNITED BEHAVIORAL HEALTH
MA
01
—
6142569
UNITED HEALTHCARE
MA
01
—
74315774201
HARVARD PILGRIM
MA
01
—
A002419
TRICARE CHAMPUS
MA
01
—
W05718
BCBS
MA
05
—
W05718
—
MA
Enumeration date
06/15/2007
Last updated
07/08/2007
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