Henderson, Phaedra

Henderson, Phaedra is an individual health care provider with primary practice located at 32 S Macdonald , Mesa AZ 85210-1310. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Henderson, Phaedra can be contacted via phone (480) 969-1471.

Contact Information

Primary practice address
32 S Macdonald Mesa AZ 85210-1310
Phone: (480) 969-1471
Fax: (480) 269-9426
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1770952772
LBN Legal business name Henderson, Phaedra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2015
Last updated Sep 19th, 2015 - about 11 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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