Individual
DR. KELSIE HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
550 POLK ST, TWIN FALLS, ID 83301-3916
(208) 814-9100
Mailing address
550 POLK ST, TWIN FALLS, ID 83301-3916
(208) 814-9100
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
203021
ID
Other
Enumeration date
08/27/2015
Last updated
01/13/2022
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