Organization
JOHN HENDERSHOT, PH.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HENDERSHOT PH.D. (PRESIDENT)
(813) 265-4811
Entity
Organization
Contact information
Practice address
5221 EHRLICH RD, SUITE A, TAMPA, FL 33624-2006
(813) 265-4811
(813) 277-0202
Mailing address
5221 EHRLICH RD STE A, TAMPA, FL 33624-2006
(813) 265-4811
(813) 277-0202
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY4314
FL
Other
Enumeration date
11/20/2006
Last updated
08/22/2020
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