Organization
JUDITH A. HENDERSON, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH A HENDERSON ED.D (PRESIDENT)
(605) 373-9066
Entity
Organization
Contact information
Practice address
3710 S KIWANIS AVE, SIOUX FALLS, SD 57105-4232
(605) 373-9066
(605) 373-9145
Mailing address
3710 S KIWANIS AVE, SIOUX FALLS, SD 57105-4232
(605) 373-9066
(605) 373-9145
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
372
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040725
BLUE CROSS BLUE SHIELD
SD
01
—
106137
CHOICE PLUS
SD
01
—
22053
SANFORD HEALTH PLAN
SD
01
—
3052
AVERA HEALTH PLANS
SD
05
—
6551272
—
SD
01
—
7878
MIDLANDS CHOICE
SD
01
—
86734 & HP29926
HEALTH PARTNERS
SD
Enumeration date
09/20/2007
Last updated
12/13/2007
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