Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jennifer Lee Henderson, PHD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1386986412

Dr. Jennifer Lee Henderson, PHD is a Student in an Organized Health Care Education/Training Program in Idaho Falls, Idaho. Practices as a sole proprietor. Licensed in Idaho and Virginia.

Licensed in
ID, VA
In the registry since
2013
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

111 E 16th Street Innovative Health Care Concepts Inc
Idaho Falls, ID 83401
Phone: (208) 529-8526
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY-203029 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Psychologist Taxonomy 103T00000X · Licence 0810005625 (VA)

Record details

NPI number1386986412
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 27, 2013
Last updated in NPPESSeptember 14, 2017

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