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Individual

DR. THEODORE ALAN HENDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
3979 E ARAPAHOE RD STE 205, CENTENNIAL, CO 80122-2072
(720) 493-1101
(720) 493-1107
Mailing address
3979 E ARAPAHOE RD STE 205, CENTENNIAL, CO 80122-2072
(720) 493-1101
(720) 493-1107

Taxonomy

Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
37438
CO
2084P0800X
Psychiatry Physician
Primary
37438
CO
2084P0804X
Child & Adolescent Psychiatry Physician
37438
CO

Other

Enumeration date
08/26/2006
Last updated
05/19/2020
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