Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 7176 | MA |
Y | 103TC0700X | Clinical Psychologist | 7176 | MA |
NPI | 1013112572 |
---|---|
Provider Name | Dr. Gretchen Jennifer Hendricks |
First Address | Northampton, MA 01060 |
Second Address | Northampton, MA 01060 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0005330639 | AETNA (01) | MA |
018742 | VMC BEHAVIORAL HEALTHCARE (01) | MA |
127472 | TRICARE CHAMPUS (01) | MA |
127472 | VALUE OPTIONS (01) | MA |
400456 | TUFTS (01) | MA |
6142456 | UNITED BEHAVIORAL HEALTH (01) | MA |
6142569 | UNITED HEALTHCARE (01) | MA |
74315774201 | HARVARD PILGRIM (01) | MA |
74315774201 | PACIFICARE (01) | MA |
A002419 | TRICARE CHAMPUS (01) | MA |
W05718 | (05) | MA |
W05718 | BCBS (01) | MA |