Provider Demographics
NPI:1912991555
Name:HENDRIX, CAROL J (CAROL HENDRIX PHD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:J
Last Name:HENDRIX
Suffix:
Gender:F
Credentials:CAROL HENDRIX PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2025 WESTWIND DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-3036
Mailing Address - Country:US
Mailing Address - Phone:661-633-1350
Mailing Address - Fax:661-633-1350
Practice Address - Street 1:2025 WESTWIND DR
Practice Address - Street 2:SUITE 1
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-3036
Practice Address - Country:US
Practice Address - Phone:661-633-1350
Practice Address - Fax:661-633-1350
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSYCH 13971103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist