Individual
DEREK C. HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8270 WILLOW OAKS CORPORATE DR FL 3, FAIRFAX, VA 22031-4511
(703) 645-6609
Mailing address
8270 WILLOW OAKS CORPORATE DR FL 3, FAIRFAX, VA 22031-4511
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
PPS-0605222
VA
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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