Individual
DANIELLE R HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
355 W 16TH ST, SUITE 2800, INDIANAPOLIS, IN 46202-2207
(317) 963-7308
(317) 963-7325
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20043157A
IN
103TB0200X
Cognitive & Behavioral Psychologist
20043157A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300015716
—
IN
Enumeration date
09/30/2011
Last updated
05/23/2025
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