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NPI Code Detail

MEDICARE: PRINCESS BRITTANY GAY-HENDERSON LMSW

MEDICARE:   PRINCESS BRITTANY  GAY-HENDERSON  LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1407713456
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRINCESS BRITTANY GAY-HENDERSON LMSW
Provider Business Mailing Address
First Line : 2343 LINCONIA AVE
Second Line :
City : TREVOSE
State : PA
Zip : 19053-6910
Country : US
Telephone Number : 267-632-2042
Fax Number :
Provider Business Practice Location Address
First Line : 1541 METROPOLITAN AVE APT 3B
Second Line :
City : BRONX
State : NY
Zip : 10462-6102
Country : US
Telephone Number : 267-632-2042
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2026
Last Update Date : 01/09/2026

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Directions to “ PRINCESS BRITTANY GAY-HENDERSON LMSW” Practice Location

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