Individual
DR. MELINDA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4134 TANGLEWOOD CT, BLOOMFIELD HILLS, MI 48301-1218
(248) 980-3679
Mailing address
4134 TANGLEWOOD CT, BLOOMFIELD HILLS, MI 48301-1218
(248) 538-9787
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301007785
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0 F3 3024
BCBS PIN
MI
Enumeration date
07/31/2006
Last updated
03/31/2024
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