Individual
DR. MARVIN KEITH HENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
240 NORTH WASHINGTON BOULEVARD, 308, SARASOTA, FL 34236
(941) 316-0230
(941) 316-0246
Mailing address
240 NORTH WASHINGTON BOULEVARD, 308, SARASOTA, FL 34236
(941) 316-0230
(941) 316-0246
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 3823
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21263816879
BEECHSTREET
FL
01
—
236417
AMERIGROUP
FL
01
—
287365
WELLCARE OF FLORIDA
FL
01
—
503289
VALUE OPTIONS
FL
Enumeration date
03/19/2007
Last updated
07/08/2007
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