Henderson, Judith Ann

Henderson, Judith Ann is an individual health care provider with primary practice located at 3710 South Kiwanis Ave , Sioux Falls SD 57105. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Nursing Service Providers / Registered Nurse. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Henderson, Judith Ann can be contacted via phone (605) 373-9066.

Contact Information

Primary practice address
3710 South Kiwanis Ave Sioux Falls SD 57105
Phone: (605) 373-9066
Fax: (605) 373-9145
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 372 South Dakota
Nursing Service Providers / Registered Nurse 163W00000X R010634 South Dakota

Profile Details

NPI number 1518071778
LBN Legal business name Henderson, Judith Ann
Credentials LICENSED PSYCHOLOGIS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Dec 13th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518071778 NPPES
Other 106137 CHOICE PLUS
Other HP29926 CHOICE PLUS
Other 3052 CHOICE PLUS
MEDICAID 6551272 CHOICE PLUS
Other 7878 CHOICE PLUS
Other 86734 CHOICE PLUS
Other 22053 CHOICE PLUS
Other 0040725 CHOICE PLUS

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