Individual
DR. FREDERIC L HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3500 N CAUSEWAY BLVD, STE 1410, METAIRIE, LA 70002
(504) 838-9919
(504) 834-3101
Mailing address
3500 N CAUSEWAY BLVD, STE 1410, METAIRIE, LA 70002
(504) 838-9919
(504) 834-3101
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD03913R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1315346
—
LA
Enumeration date
08/02/2006
Last updated
01/04/2012
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