Henderson, Justin Daniel

Henderson, Justin Daniel is an sole proprietor health care provider with primary practice located at 614 N Easton Rd , Glenside PA 19038-4301. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Henderson, Justin Daniel can be contacted via phone (215) 884-9770.

Contact Information

Primary practice address
614 N Easton Rd Glenside PA 19038-4301
Phone: (215) 884-9770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CW017781 Pennsylvania

Profile Details

NPI number 1578709077
LBN Legal business name Henderson, Justin Daniel
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2009
Last updated Sep 5th, 2013 - 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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