Henderson, Brent N
Henderson, Brent N is an individual health care provider with primary practice located at 5115 Centre Ave Suite 140, Pittsburgh PA 15232-1301. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Henderson, Brent N can be contacted via phone (412) 623-5888.Contact Information
Primary practice address
5115 Centre Ave Suite 140
Pittsburgh PA 15232-1301
Phone: (412) 623-5888
Fax: (412) 623-5980
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PS015211 | Pennsylvania |
Profile Details
NPI number | 1578534756 |
---|---|
LBN Legal business name | Henderson, Brent N |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 27th, 2006 |
Last updated | Jul 28th, 2009 - about 15 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578534756 | NPPES |
Pennsylvania | MEDICAID | 520447 | |
Pennsylvania | Other | 11440288 | |
Pennsylvania | MEDICAID | 001905341 |
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