Henderson, Sally Jean

Henderson, Sally Jean is an individual health care provider with primary practice located at 673 Westbury Drive Suite 201, Iowa City IA 52245-2723. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Henderson, Sally Jean can be contacted via phone (319) 356-6352.

Contact Information

Primary practice address
673 Westbury Drive Suite 201 Iowa City IA 52245-2723
Phone: (319) 356-6352
Fax: (319) 358-2367
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 00142 Iowa
Behavioral Health & Social Service Providers / Social Worker 104100000X 04884 Iowa

Profile Details

NPI number 1790829968
LBN Legal business name Henderson, Sally Jean
Credentials PH.D. LMFT LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2007
Last updated May 4th, 2011 - about 13 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 1790829968 NPPES
Iowa MEDICAID 458268000
Iowa Other 232194

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