ELIZABETH ANN HENDERSON (NPI# 1235236035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235236035 |
| Entity Type | Individual |
| Full Name | ELIZABETH ANN HENDERSON |
| Other Name | ELIZABETH ANN SURGENT (BOHN) |
| Credential | PH.D. |
| Practice Address |
4150 Belden Village St Nw #110 Canton OH 44718-2595 |
| Mailing Address |
11400 Lloyd St Nw Canal Fulton OH 44614-8614 |
| Practice Telephone | 3304919400 |
| Practice Fax Number | 3304921263 |
| Mailing Telephone | 3303134418 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3745 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215580196 | Elizabeth Henderson | Speech-Language Pathologist | 4720 Rouge Ct, Alexandria, VA 22312-1613 | 2019-07-19 |
| 1275067969 | Elizabeth Henderson | Health Maintenance Organization | 102 W Louisville Ave, Atmore, AL 36502-1710 | 2017-04-19 |
| 1497881668 | Elizabeth Frances Henderson | Physical Therapist | 91 Texas Ave Ste C, Alexandria, LA 71301-5433 | 2007-02-24 |
| 1679589386 | Elizabeth T. Henderson | Pediatrics | 306 San Pablo St Se Ste A, Young Children's Health Center, Albuquerque, NM 87108-3167 | 2006-08-01 |
| 1023034758 | Elizabeth Connell Henderson | Psychiatry & Neurology | 3848 County Road 24, Hickory, MS 39332-2630 | 2006-07-14 |
| 1346800661 | Elizabeth Henderson | Physical Therapist | 1630 Beavercreek Rd Ste A, Oregon City, OR 97045-4156 | 2019-06-18 |
| 1003387333 | Elizabeth Burford Henderson | Physician Assistant | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2018-12-16 |
| 1023506805 | Elizabeth Henderson | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2018-04-26 |
| 1528591427 | Elizabeth Anne Henderson | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr, Suite 4001, Ypsilanti, MI 48197-1014 | 2017-04-06 |
| 1144771205 | Elizabeth Joy Henderson | Registered Nurse | 123 S 27th St, Billings, MT 59101-4227 | 2016-10-24 |
| Street Address |
4150 BELDEN VILLAGE ST NW #110 |
| City | CANTON |
| State | OH |
| Zip Code | 44718-2595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811948300 | Allison Lee Marsden | Physical Therapist | 4150 Belden Village St Nw, Ll3, Canton, OH 44718-2595 | 2006-05-12 |
| 1124397500 | Stark Physical Therapy Inc | Physical Therapist | 4150 Belden Village St Nw, Ll03, Canton, OH 44718-2595 | 2011-12-14 |
| 1972715589 | Maxim Home Health Resources, LLC | Home Health | 4150 Belden Village St Nw, Suite 302, Canton, OH 44718-2595 | 2007-05-04 |
| 1841356789 | Mark G Tully | Psychologist | 4150 Belden Village St Nw, Suite 110, Canton, OH 44718-2595 | 2006-12-28 |
| 1467515577 | Care Focus, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4150 Belden Village St Nw, Suite 301, Canton, OH 44718-2595 | 2006-12-19 |
| 1790860658 | Richard K Hellgren | Psychologist | 4150 Belden Village St Nw, Suite 110, Canton, OH 44718-2595 | 2006-10-26 |
| 1396827911 | Joseph Steven Napierala | Psychologist | 4150 Belden Village St Nw, Suite 110, Canton, OH 44718-2595 | 2006-10-20 |
| 1114963964 | Vinod Sharma | Psychiatry & Neurology | 4150 Belden Village St Nw, Suite 600, Canton, OH 44718 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
| 1295252500 | Dora C Holliday | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr N.w., Canton, OH 44718 | 2017-08-28 |
| 1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
| 1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
| 1457722365 | Melinda R Bond | Nurse Practitioner | 4105 Holiday Street Nw, Canton, OH 44718 | 2015-10-19 |
| 1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1699198390 | Lauri Sanders | Social Worker | 5860 Fulton Dr Nw, Canton, OH 44718 | 2014-01-31 |
| 1376893768 | Courteney R Briceland | Social Worker | 4641 Fulton Rd. Nw, Canton, OH 44718 | 2012-09-13 |
| 1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
| Find all providers in zip 44718 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568012011 | Weaver Counseling and Assessment Services, LLC | Psychologist | 4450 Belden Village St Nw Ste 604, Canton, OH 44718-3672 | 2019-09-17 |
| 1598134561 | Sharon Maxwell | Psychologist | 617 Chapman St, Canton, MA 02021-2065 | 2015-09-21 |
| 1174916688 | Harte Behavioral Health, LLC | Psychologist | 95 Washington St Ste 588, Canton, MA 02021-4003 | 2015-03-07 |
| 1942633839 | Caitlin Reid Roache | Psychologist | 500 Chapman St Unit 203, Canton, MA 02021-2040 | 2013-08-14 |
| 1962787796 | Meagan Elizabeth Johnson | Psychologist | 1202 Stacy Dr, Canton, MI 48188-1432 | 2011-10-12 |
| 1255611711 | Ryan Pecsenye | Psychologist | 7361 Windsor Woods Dr, 1c, Canton, MI 48187-2285 | 2011-08-27 |
| 1780829945 | Charles Orvis Hunter | Psychologist | 4450 Belden Village Ave Nw, Suite 205, Canton, OH 44718 | 2008-12-02 |
| 1669627444 | Laura Derr, Psyd, PC | Psychologist | 1017 Turnpike St, Suite 12c, Canton, MA 02021-2853 | 2008-11-20 |
| 1245407055 | David Herl | Psychologist | 2677 Cleveland Avenue Nw, Canton, OH 44709-3393 | 2008-05-12 |
| 1689865040 | Martin Steven Kurylowicz | Psychologist | 4005 Cornerstone Dr, Canton, MI 48188-7911 | 2007-08-09 |
| Find all providers in CANTON | ||||
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| 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.