Individual
DR. SCOTT ROBERT HENDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6625 S RURAL RD STE 111, TEMPE, AZ 85283-3717
(480) 345-9888
(480) 345-2126
Mailing address
6625 S RURAL RD STE 111, TEMPE, AZ 85283-3717
(480) 345-9888
(480) 345-2126
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
962
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0135130
BLUECROSSBLUESHIELD
AZ
Enumeration date
12/02/2006
Last updated
07/08/2007
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