Hendricksen, Norman E.

Hendricksen, Norman E. is an sole proprietor health care provider with primary practice located at 521 W. Enterprise , Clovis CA 93619-8357. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Hendricksen, Norman E. can be contacted via phone (559) 322-9734.

Contact Information

Primary practice address
521 W. Enterprise Clovis CA 93619-8357
Phone: (559) 322-9734
Fax: (559) 499-1232
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X OPL59380 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY5938 California

Profile Details

NPI number 1649371212
LBN Legal business name Hendricksen, Norman E.
Credentials PHD.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2006
Last updated Mar 29th, 2012 - about 12 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 1649371212 NPPES
California MEDICAID PSY059380

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