Individual
DANA HUGHES HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2952 VININGS FOREST WAY SE, ATLANTA, GA 30339-4222
(404) 247-9274
(770) 434-8830
Mailing address
2952 VININGS FOREST WAY SE, ATLANTA, GA 30339-4222
(404) 247-9274
(770) 434-8830
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY001261
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00477837A
—
GA
01
—
01000583
AMERIGROUP
GA
Enumeration date
12/18/2006
Last updated
07/09/2007
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