Organization
AET OF CENTRAL FLORIDA OF SCHAEFFER & HENDERSON, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL HENDERSON PH.D. (EXECUTIVE DIRECTOR)
(352) 732-3333
Entity
Organization
Contact information
Practice address
1515 E SILVER SPRINGS BLVD, SUITE 112, OCALA, FL 34470-6831
(352) 732-3333
(352) 732-2469
Mailing address
PO BOX 2854, OCALA, FL 34478-2854
(352) 732-3333
(352) 732-2469
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24184
BCBS OF FLORIDA
FL
Enumeration date
08/11/2006
Last updated
06/13/2008
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