NPI 1699839753

Dennis W Henderson, PSYD

Practitioner Clinical Psychologist Gladstone, OR

Practice location

Address: 880 82nd Dr, Gladstone, OR 97027-1803
Phone: (503) 659-5515
Fax: (503) 659-1994
Mailing address: PO Box 82819, Portland, OR 97282-0819

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 1079 (OR)

Other Psychologist providers in Oregon →

Registry record

NPI: 1699839753
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Dec 2006
Record last updated: 9 Jul 2007

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.