ALICIA A HENDERSON


Address: 1355 N University Ave, Provo, UT 84604-2721
Phone: 8012210223

ALICIA A HENDERSON (NPI# 1366830796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366830796
Entity Type Individual
Full Name ALICIA A HENDERSON
Credential PH.D.
Practice Address 1355 N University Ave
Provo
UT 84604-2721
Practice Telephone 8012210223
Practice Fax Number 8012210291
Mailing Telephone 8012210223
Mailing Fax Number 8012210291
Enumeration Date 2015-01-08
Last Update Date 2015-01-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 8905254-2501 UT Behavioral Health & Social Service Providers

Other Providers ALICIA HENDERSON

NPI Name Taxonomy Address Enumeration
1235792623 Alicia Henderson Speech-Language Pathologist 1254 N L St, Aberdeen, WA 98520-1761 2019-04-21
1285133561 Alicia Henderson Behavior Technician 100 E Main St Ste A, Stanton, MI 48888-9687 2018-02-01
1689207052 Alicia Henderson Counselor 301 S Gallaher View Rd Ste 300, Knoxville, TN 37919-5370 2020-02-13
1609160845 Alicia Henderson Anesthesiology 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104-4319 2011-06-06
1053565598 Alicia Yvette Henderson Social Worker 160 W 86th St, New York, NY 10024-4018 2008-11-11
1275725285 Alicia Henderson Specialist/Technologist 2045 Peachtree Rd Ne, Ste 700, Atlanta, GA 30309-1414 2007-08-14

Office Location

Street Address 1355 N UNIVERSITY AVE
City PROVO
State UT
Zip Code 84604-2721

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164414744 Traer Gary Caywood Optometrist 1355 N University Ave, Suite 100, Provo, UT 84604-2721 2005-08-18
1841834975 Alec Devlyn Barrow Counselor 1355 N University Ave, Provo, UT 84604-2721 2019-11-01
1194388215 Nathan Sewell Psychologist 1355 N University Ave, Provo, UT 84604-2721 2019-04-15
1366970774 Timothy James Seiter Optometrist 1355 N University Ave, Provo, UT 84604-2721 2017-05-30
1588039861 Steven K. Flick Dmd, PC Dentist 1355 N University Ave, 310, Provo, UT 84604-2721 2015-12-11
1366819112 Summit Foot and Ankle Specialists Clinic/Center 1355 N University Ave, Suite 125, Provo, UT 84604-2721 2015-08-27
1326428061 Garr Foot & Ankle Pllc Podiatrist 1355 N University Ave, Ste 125, Provo, UT 84604-2721 2015-06-08
1497168975 Provo Dental Care LLC Clinic/Center 1355 N University Ave, Suite 330, Provo, UT 84604-2721 2014-06-03
1285980094 Randy Garr Podiatrist 1355 N University Ave, Ste 125, Provo, UT 84604-2721 2012-07-30
1710255336 Alan R Jacob Counselor 1355 N University Ave, Suite 200, Provo, UT 84604-2721 2011-12-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346882107 Abigail Belle Hardy Student in an Organized Health Care Education/Training Program 1190 900 E, Provo, UT 84604 2019-10-14
1386106698 Sarah Roseman Hunt Nurse Practitioner 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 2019-04-04
1255813325 Hwigeum Jeong Specialist/Technologist Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 2018-09-05
1093203044 Snowcap Smile Studio LLC Dentist 2230 N. University Pkwy Ste 8b, Provo, UT 84604 2018-04-25
1407359078 Ihc Health Services Inc Clinic/Center 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 2018-03-09
1902308455 Afton Leuga Nurse Practitioner 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 2018-03-01
1851807333 Ihc Health Services Inc Family Medicine 380 W 1230 N, Ste 602, Provo, UT 84604 2017-12-20
1689180218 Ihc Health Services Inc Pediatrics 395 W Bulldog Blvd Ste 703, Provo, UT 84604 2017-12-19
1396254165 Nicolas Sorensen Massage Therapist 247 West 2230 North #201, Provo, UT 84604 2017-09-25
1437692241 Cirque Lodge Inc Substance Abuse Rehabilitation Facility 3114 E Ida's Road, Sundance, UT 84604 2016-11-28
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033742887 Vaughn E Worthen Psychologist 1545 Wsc, Provo, UT 84602-7924 2020-02-20
1265071575 Scott Daly Hosford Psychologist 2500 Wsc, Provo, UT 84602 2020-01-03
1023263191 Professional Clinical Management Psychologist 1355 N University Ave Ste 200, Provo, UT 84604-2721 2008-11-17
1528191046 Steven Arthur Smith Psychologist 1559 W 1050 N, Provo, UT 84604-3024 2007-03-13
1255349627 Robert L. Gleave Psychologist Byu - 1500 Wsc, Provo, UT 84602-7906 2006-08-03
1710907795 Monroe White Psychologist 215 W 100 N, Provo, UT 84601-4433 2006-07-20
1548239478 Edward Alphonse Parent Psychologist 3707 N Canyon Rd, Suite 2a, Provo, UT 84604-4592 2006-03-14
1215552179 Justin Brent Top Psychologist 750 N Freedom Blvd, Provo, UT 84601-1677 2020-06-16
1538710207 Benjamin Roos Psychologist 1300 E Center St, Provo, UT 84606-3554 2019-09-24
1831756360 New Beginnings Counseling Group Psychologist 1881 N 1120 W, Provo, UT 84604-1180 2019-05-20
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Competitor

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City PROVO
Zip Code 84604

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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