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Individual

JANICE A HENDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
4460 GENERAL MEYER AVE, NEW ORLEANS, LA 70131-3529
(504) 364-6613
(504) 364-6651
Mailing address
4460 GENERAL MEYER AVE, NEW ORLEANS, LA 70131-3529
(504) 364-6600
(504) 364-6651

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
799
LA
103TB0200X
Cognitive & Behavioral Psychologist
799
LA
103TC0700X
Clinical Psychologist
799
LA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
799
LA

Other

Enumeration date
10/15/2008
Last updated
06/29/2012
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