DANA HENDERSON, PH.D., P.C.
Ambulatory Health at Vinings Forest Way, Atlanta, GA

License number
Georgia PSY001261
Category
Ambulatory Health
Type
Adolescent and Children Mental Health
Owner
Name: DR. DANA HUGHES HENDERSON PH.D.
Title: PRESIDENT
Phone: (404) 247-9274
Address
Address
2952 Vinings Forest Way SE, Atlanta, GA 30339
National Provider ID: 1063748283
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DANA HENDERSON, PH.D., PC

2952 Vinings Frst Way, Atlanta, GA 30339

Registration:
Apr 28, 2006
State ID:
0637485
Business type:
Domestic Professional Corporation
CEO:
Dana Henderson (CEO), 2952 Vinings Frst Way, Atlanta, GA 30339 (Physical)
Agent:
Dana Hughes Henderson,2952 Vinings Fores Way, Atlanta, GA (Physical)

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