Hendricks, Daniel E.

Hendricks, Daniel E. is an individual health care provider with primary practice located at 1287 Marks Church Rd Suite F, Augusta GA 30909-6330. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Hendricks, Daniel E. can be contacted via phone (706) 481-8181.

Contact Information

Primary practice address
1287 Marks Church Rd Suite F Augusta GA 30909-6330
Phone: (706) 481-8181
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 203 Georgia
Behavioral Health & Social Service Providers / Psychologist 103T00000X 973 Georgia

Profile Details

NPI number 1851332621
LBN Legal business name Hendricks, Daniel E.
Credentials PH.D., ADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Jul 8th, 2007 - 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 1851332621 NPPES
Georgia Other 973 PSYCHOLOGY LICENSE
Georgia MEDICAID 00472821B PSYCHOLOGY LICENSE

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