Individual
DR. DOUGLAS DAYNE HENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD. PSY
Contact information
Practice address
2864 S CIRCLE DRIVE, SUITE 600, COLORADO SPRINGS, CO 80906
(719) 314-4260
(719) 264-6616
Mailing address
220 RUSKIN DR, COLORADO SPRINGS, CO 80910
(719) 572-6100
(719) 572-6199
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0880
KS
103T00000X
Psychologist
1285
WA
103T00000X
Psychologist
PRY 0435
MO
103T00000X
Psychologist
Primary
PSY-3398
CO
103T00000X
Psychologist
R0435
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100354730A
—
KS
05
—
494788003
—
MO
Enumeration date
08/19/2006
Last updated
08/03/2010
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