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JUDITH BLAIR HENDERSON PH.D. NPI 1831132778


NPI Information

NPI: 1831132778
Provider Name: JUDITH BLAIR HENDERSON, PH.D.
Classification: Psychologist - 103TH0100X
Entity Type: Individual

Specialization: Health Service

Address:
5101 OLSON MEMORIAL HWY
SUITE 4002
GOLDEN VALLEY, MN
ZIP 55422
Phone: (763) 595-7294
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Judith Blair Henderson, PH.D. is a health service psychologist in Golden Valley, MN. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). Judith Blair Henderson, PH.D. NPI is 1831132778. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5101 OLSON MEMORIAL HWY
SUITE 4002
GOLDEN VALLEY, MN
ZIP 55422-149
Phone: (763) 595-7294
Fax: (763) 595-7293

The enumeration date for this NPI number is 6/14/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TH0100XPsychologistHealth ServiceLP3720MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.