Individual
DR. ROBERT R HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8491 NW 39TH AVE, GAINESVILLE, FL 32606-5635
(352) 265-4357
Mailing address
PO BOX 100256, GAINESVILLE, FL 32610-0256
(352) 294-4900
(352) 294-9887
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
PSY004688
GA
103TC0700X
Clinical Psychologist
Primary
PY11285
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2017
Last updated
05/11/2026
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