Individual
DR. MICHAEL EDWARD HENDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7800 SW 57TH AVE, 227, SOUTH MIAMI, FL 33143-5528
(305) 668-5068
(305) 668-5098
Mailing address
7800 SW 57TH AVE, 227, SOUTH MIAMI, FL 33143-5528
(305) 668-5068
(305) 668-5098
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY3581
FL
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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