| Hendrickson Counseling & Consulting, Inc | |
|
7600 Parklawn Ave Ste 415 Edina MN 55435-5129 | |
| (612) 845-8768 | |
| Not Available |
| Full Name | Hendrickson Counseling & Consulting, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 7600 Parklawn Ave Ste 415, Edina, Minnesota |
| Authorized Official Name and Position | Susan Michelle Hendrickson (PRESIDENT/PSYCHOLOGIST) |
| Authorized Official Contact | 6128458768 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hendrickson Counseling & Consulting, Inc 7600 Parklawn Ave Ste 415 Edina MN 55435-5129 Ph: (612) 845-8768 | Hendrickson Counseling & Consulting, Inc 7600 Parklawn Ave Ste 415 Edina MN 55435-5129 Ph: (612) 845-8768 |
| NPI Number | 1790081214 |
|---|---|
| Provider Enumeration Date | 01/31/2011 |
| Last Update Date | 01/30/2024 |
| Certification Date | 01/30/2024 |
| Medicare PECOS PAC ID | 4587023510 |
|---|---|
| Medicare Enrollment ID | O20230707003342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790081214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP4455 (Minnesota) | Primary |
| Provider Name | Susan M Hendrickson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063591147 PECOS PAC ID: 5496114423 Enrollment ID: I20230707003438 |
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