Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PHYLLIS JO HENDERSON, MD
Active Sole ProprietorDR. PHYLLIS JO HENDERSON, MD is a Addiction Psychiatry healthcare provider located in YAKIMA, Washington. NPI 1487863999 is currently active in the NPPES registry. Verify at CMS.
Addiction Psychiatry · YAKIMA, WA
Registration Details
- NPI Number
- 1487863999
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 21, 2007 (19.256011909249 yrs)
- Last Updated
- Jan 4, 2024
- Licenses
-
26126 (WA)WA26126 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
402 S 4TH AVEYAKIMA, WA, 989023546Browse WA providers · Browse ZIP 98902
- Phone
- 8085754084
- Fax
- 5095754234
- Primary Specialty
-
Addiction Psychiatry
2084A0401X
- Additional Specialty
- Psychiatry
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.