Individual
ALEXANDER DAVIS HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
250 MATHIS FERRY RD, SUITE 101, MT PLEASANT, SC 29464-2979
(843) 971-5171
Mailing address
250 MATHIS FERRY RD, SUITE 101, MT PLEASANT, SC 29464-2979
(843) 971-5171
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
984
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS0406
—
SC
Enumeration date
05/10/2006
Last updated
07/08/2007
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