Female

Dana H. Henderson PH.D.

Psychologist in Atlanta, GA(View on Map)

Full Name

Dana Hughes Henderson PH.D.

NPI Number

1386707594

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/18/2006

Specialties

(Taxonomies)

Code

103T00000X

Primary Taxonomy

Yes

Licenses

State

Georgia

License Number

PSY001261

Contact
Information

Purpose

Mailing
Location

Address

2952 VININGS FOREST WAY SE
2952 VININGS FOREST WAY SE

City

Atlanta
Atlanta

State

GA
GA

Postal Code

30339-4222
30339-4222

Country

US
US

Telephone Number

(404) 247-9274
(404) 247-9274

Identifiers

Identifier

01000583
00477837A

Identifier State

GA
GA

Identifier Issuer

AMERIGROUP
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/09/2007

Provider Address

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