Individual
DR. BRANDON J. HENSCHEID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
455 WASHINGTON ST, MONTPELIER, ID 83254-1600
(208) 847-4464
Mailing address
172 JOHNNY MILLER DR, AFTON, WY 83110-8743
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
203303
ID
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
Primary
PSYPP-203743
ID
103TS0200X
School Psychologist
—
—
Other
Enumeration date
04/10/2012
Last updated
02/08/2024
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