| NPI | 1720381395 |
|---|---|
| Former Legal Business Name | HENDERSON PSYCHOLOGICAL SERVICES, PLLC |
| Entity Type | Organization |
| Authorized Contact | TAMMY S JUNTUNEN Co Owner 252-431-4418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC 2332) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 251S00000X (Licence: NC 2348) | |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2023-09-01 |