Individual
JUDITH ANN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED PSYCHOLOGIS
Contact information
Practice address
3710 SOUTH KIWANIS AVE, SIOUX FALLS, SD 57105
(605) 373-9066
(605) 373-9145
Mailing address
3710 SOUTH KIWANIS AVE, SIOUX FALLS, SD 57105
(605) 373-9066
(605) 373-9145
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
372
SD
163W00000X
Registered Nurse
R010634
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040725
BLUE CROSS BLUE SHIELD
—
01
—
106137
CHOICE PLUS
—
01
—
22053
SIOUX VALLEY HEALTH PLAN
SD
01
—
3052
AVERA HEALTH PLANS
—
05
—
6551272
—
SD
01
—
7878
MIDLANDS CHOICE
—
01
—
86734
HEALTH PARTNERS
—
01
—
HP29926
HEALTH PARTNERS
—
Enumeration date
08/17/2006
Last updated
12/13/2007
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