Individual
SANDRA H. HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LCP
Contact information
Practice address
9376 ATLEE STATION RD, MECHANICSVILLE, VA 23116-2602
(804) 730-0990
Mailing address
9376 ATLEE STATION RD, MECHANICSVILLE, VA 23116-2602
(804) 730-0990
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
0810004045
VA
Other
Enumeration date
01/06/2009
Last updated
02/10/2009
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