Individual
JILL C HENDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
416 JACKSON STREET, EAST LIVERPOOL, OH 43920
(330) 386-7870
(330) 382-9075
Mailing address
416 JACKSON STREET, EAST LIVERPOOL, OH 43920
(330) 386-7870
(330) 382-9075
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6683
OH
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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