Individual
ALVIN A DOLAN HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
11675 JOLLYVILLE RD, SUITE 111, AUSTIN, TX 78759-3939
(512) 219-8828
(512) 219-8838
Mailing address
11675 JOLLYVILLE RD, SUITE 111, AUSTIN, TX 78759-3939
(512) 219-8828
(512) 219-8838
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
32557
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169870605
—
TX
01
—
8D6316
BCBS
TX
Enumeration date
07/05/2006
Last updated
09/11/2018
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