Provider Demographics
NPI:1386670586
Name:HOSTETTER, HENDEY (PHD)
Entity Type:Individual
Prefix:DR
First Name:HENDEY
Middle Name:
Last Name:HOSTETTER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-4144
Mailing Address - Country:US
Mailing Address - Phone:919-286-7333
Mailing Address - Fax:919-286-0519
Practice Address - Street 1:1004 BROAD ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4144
Practice Address - Country:US
Practice Address - Phone:919-286-7333
Practice Address - Fax:919-286-0519
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-23
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1075103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical