Individual
ELIZABETH ANN HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4150 BELDEN VILLAGE ST NW, #110, CANTON, OH 44718-2595
(330) 491-9400
(330) 492-1263
Mailing address
11400 LLOYD ST NW, CANAL FULTON, OH 44614-8614
(330) 313-4418
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3745
OH
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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