Individual
MR. THOMAS J HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-A
Contact information
Practice address
330 CAMDEN CSWY, SUITE A, ELIZABETH CITY, NC 27909-6811
(252) 331-1494
(252) 331-0308
Mailing address
PO BOX 2443, ELIZABETH CITY, NC 27906-2443
(252) 331-1494
(252) 331-0308
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
841
VA
Other
Enumeration date
08/12/2008
Last updated
09/22/2009
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