| Judith A. Henderson, Inc. | |
|
3710 S Kiwanis Ave Sioux Falls SD 57105-4232 | |
| (605) 373-9066 | |
| (605) 373-9145 |
| Full Name | Judith A. Henderson, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 3710 S Kiwanis Ave, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Judith A Henderson (PRESIDENT) |
| Authorized Official Contact | 6053739066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Judith A. Henderson, Inc. 3710 S Kiwanis Ave Sioux Falls SD 57105-4232 Ph: (605) 373-9066 | Judith A. Henderson, Inc. 3710 S Kiwanis Ave Sioux Falls SD 57105-4232 Ph: (605) 373-9066 |
| NPI Number | 1124214465 |
|---|---|
| Provider Enumeration Date | 09/20/2007 |
| Last Update Date | 12/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124214465 | NPI | - | NPPES |
| 0040725 | Other | SD | BLUE CROSS BLUE SHIELD |
| 6551272 | Medicaid | SD | |
| 7878 | Other | SD | MIDLANDS CHOICE |
| 22053 | Other | SD | SANFORD HEALTH PLAN |
| 3052 | Other | SD | AVERA HEALTH PLANS |
| 86734 & HP29926 | Other | SD | HEALTH PARTNERS |
| 106137 | Other | SD | CHOICE PLUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 372 (South Dakota) | Primary |
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