Individual
DR. ANTHONY HENKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D L.P.
Contact information
Practice address
5300 ARSENAL ST, SAINT LOUIS, MO 63139-1463
(314) 877-5723
Mailing address
5300 ARSENAL ST, SAINT LOUIS, MO 63139-1463
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0004489
CO
103TC0700X
Clinical Psychologist
Primary
2016039009
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500565700
—
MO
05
—
501500003
—
MO
Enumeration date
12/07/2016
Last updated
12/07/2016
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