Individual
CARRIE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SCHOOL PSYCHOLOGIST
Contact information
Practice address
4981 OLD MILL RD, SPRINGFIELD, OH 45502-9747
(937) 408-2935
Mailing address
4981 OLD MILL RD, SPRINGFIELD, OH 45502-9747
(937) 408-2935
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OHI-24-1708
OH
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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