Individual
PAULA HENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
19733 EXECUTIVE PARK CIR, GERMANTOWN, MD 20874-2642
(240) 750-6467
Mailing address
60 MARKET ST, SUITE 213, GAITHERSBURG, MD 20878-6548
(240) 750-6467
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
08/30/2010
Last updated
01/15/2019
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