Henderson, Gloria M

Henderson, Gloria M is an individual health care provider with primary practice located at 1423 Kirkwood Highway & Polly Drummond Rd. Suite 3304 &3305, Newark DE 19711. 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, Gloria M can be contacted via phone (302) 454-7520.

Contact Information

Primary practice address
1423 Kirkwood Highway & Polly Drummond Rd. Suite 3304 &3305 Newark DE 19711
Phone: (302) 454-7520
Fax: (302) 454-7524
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CADC 768 Delaware

Profile Details

NPI number 1821120270
LBN Legal business name Henderson, Gloria M
Credentials BS, CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated Jul 8th, 2007 - about 18 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 1821120270 NPPES
Delaware Other DCB 768 CADC

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