Individual
MS. COLINDA ANDERSON HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
224 N. MAIN STREET, JEFFERSON, NC 28640-1131
(336) 846-1455
Mailing address
348 CHERRY TREE LANE, CRESTON, NC 28615
(336) 385-9595
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1903
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135VT
BCBS
NC
05
—
6107113
—
NC
Enumeration date
10/04/2006
Last updated
05/05/2008
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