Individual
DR. JOHN R. HENRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD, L.P.
Contact information
Practice address
516 MISSION HOUSE LANE, NEW BRIGHTON, MN 55112-2751
(651) 636-5120
(651) 636-5124
Mailing address
516 MISSION HOUSE LANE, NORTH CENTRAL MINISTRY DEVELOPMENT CENTER, NEW BRIGHTON, MN 55112-2751
(651) 636-5120
(651) 636-5124
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4223
MN
Other
Enumeration date
02/28/2007
Last updated
04/22/2011
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