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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JENNIFER LEE HENDERSON, PHD

Active Sole Proprietor

DR. JENNIFER LEE HENDERSON, PHD is a Clinical Psychologist healthcare provider located in IDAHO FALLS, Idaho. NPI 1386986412 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · IDAHO FALLS, ID

Registration Details

NPI Number
1386986412
Provider Type
Individual
Gender
Female
NPI Issued
Mar 27, 2013 (13.356783884862 yrs)
Last Updated
Sep 14, 2017
Licenses
PSY-203029 (ID)
0810005625 (VA)
Sole Proprietor
Yes

Practice Information

Address
111 E. 16TH STREET
INNOVATIVE HEALTH CARE CONCEPTS INC.
IDAHO FALLS, ID, 83401
Browse ID providers · Browse ZIP 83401
Phone
2085298526
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Psychologist
Additional Specialty
Psychologist

Other Clinical Psychologist Providers in IDAHO FALLS, ID

Name Credential NPI
DR. TIMOTHY A CONNOR PSY.D. 1780625954
DR. AARON A HARRIS PHD 1669480091
DR. STERLING DON ANDELIN PHD 1457466260
DR. CAROL V ANDERSON PHD 1396878401
DR. KELLI M BISHOP PSY.D. 1164542585
ROBERT D. LISOTA PH.D. 1316175862
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.