Dennis M Henderson Psychological Services Pc

LBN: Dennis M Henderson Psychological Services Pc
Dennis M Henderson Psychological Services Pc is an health care organization with primary practice located at 12 Gildare Dr , East Northport NY 11731-3223. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Dennis M Henderson Psychological Services Pc can be contacted via phone (631) 368-8502, or through Henderson, Dennis Malcolm via phone (631) 368-8502.

Contact Information

Primary practice address
12 Gildare Dr East Northport NY 11731-3223
Phone: (631) 368-8502
Fax: (631) 368-8502
Website:
Map and Directions
Authorized official contact:
Name: Henderson, Dennis Malcolm PHD
Phone: (631) 368-8502

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0117921 New York

Profile Details

NPI number 1518158088
LBN Legal business name Dennis M Henderson Psychological Services Pc
DBA Doing business as
Authorized official Henderson, Dennis Malcolm PHD
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 8th, 2007
Last updated Aug 8th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518158088 NPPES
New York MEDICAID 01660731
New York Other 1639287758

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