Individual
JUDITH BLAIR HENDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5101 OLSON MEMORIAL HWY, SUITE 4002, GOLDEN VALLEY, MN 55422-5149
(763) 595-7294
(763) 595-7293
Mailing address
5101 OLSON MEMORIAL HWY, SUITE 4002, GOLDEN VALLEY, MN 55422-5149
(763) 595-7294
(763) 595-7293
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
LP3720
MN
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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