Hendrickson, Michelle
Hendrickson, Michelle is an individual health care provider with primary practice located at 11204 Waples Mill Rd , Fairfax VA 22030-6036. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Hendrickson, Michelle can be contacted via phone (703) 218-2913.Contact Information
Primary practice address
11204 Waples Mill Rd
Fairfax VA 22030-6036
Phone: (703) 218-2913
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 0810006292 | Virginia |
Profile Details
| NPI number | 1245685783 |
|---|---|
| LBN Legal business name | Hendrickson, Michelle |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2016 |
| Last updated | Oct 9th, 2019 - about 5 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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