Susan Henderson, LAC

NPI 1225310402 · on the registry since 2011

Practice

Address: 403 E Madison St
South Bend, IN 46617
Phone: (574) 283-1234
Fax: (574) 283-1131
Organisation at this address: Madison Center, Inc.
Madison Center, Inc.
Madison Center, Inc.
Madison Center, Inc.
Madison Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 139

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: IN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-09-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana