Individual
DR. THOMAS BRUCE MCHENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
255 E SUNSET LN, WEST LAFAYETTE BRA, IN 47906-2456
(765) 404-6583
Mailing address
1011 OAKHURST DR, WEST LAFAYETTE BRA, IN 47906-2213
(765) 463-6716
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
19110052A
IN
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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