Individual
DR. DANIEL J HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1515 E SILVER SPRINGS BLVD, SUITE 112, OCALA, FL 34470-6831
(352) 732-3333
(352) 732-2469
Mailing address
PO BOX 2854, OCALA, FL 34478-2854
(352) 732-3333
(352) 732-2469
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0003688
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75919
BCBS OF FLORIDA
FL
Enumeration date
08/03/2006
Last updated
07/08/2007
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