Individual
ALICIA A HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1355 N UNIVERSITY AVE, PROVO, UT 84604-2721
(801) 221-0223
(801) 221-0291
Mailing address
1355 N UNIVERSITY AVE, PROVO, UT 84604-2721
(801) 221-0223
(801) 221-0291
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8905254-2501
UT
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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