Individual
ELENA KELSEY HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
912 S WOOD ST # 838, CHICAGO, IL 60612-4300
(312) 413-1567
Mailing address
230 W 1300 S UNIT 10, SALT LAKE CITY, UT 84115-5586
(801) 436-4336
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.011031
IL
103TC0700X
Clinical Psychologist
13007086-2501
UT
Other
Enumeration date
06/06/2023
Last updated
10/30/2023
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