Individual
DR. LAWRENCE EDWARD HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED. D.
Contact information
Practice address
3250 W LOWER BUCKEYE RD, PHOENIX, AZ 85009-6729
(602) 876-6882
Mailing address
3250 W LOWER BUCKEYE RD, PHOENIX, AZ 85009-6729
(602) 876-6882
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3475
AZ
Other
Enumeration date
03/06/2009
Last updated
03/06/2009
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