Whalio Doctors

NPI 1356719157

Eric Henderson, LCSW

Practitioner Clinical Social Worker Fpo, AE

Practice location

Address
Navy Branch Health Clinic Psc 851 Box 340, Fpo, AE 09834-0004
Phone
(318) 439-4169
Mailing address
Psc 851 Box 340, Fpo, AE 09834-0004

Registered specialties

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 089.0115585 (VT)

Registry record

NPI
1356719157
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Sep 2015
Record last updated
17 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.