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:
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Health care specialties

SpecialtyCodeLicense #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 17 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 1578534756 NPPES
Pennsylvania MEDICAID 520447
Pennsylvania Other 11440288
Pennsylvania MEDICAID 001905341

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