Individual
DR. ENDRA KIESHA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
400 COMMUNITY DR, MANHASSET, NY 11030-3815
(516) 562-3271
(516) 562-4786
Mailing address
11 NUVERN AVE, MOUNT VERNON, NY 10550-4818
(914) 393-5592
(914) 699-6493
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
018013
NY
Other
Enumeration date
11/20/2006
Last updated
03/17/2009
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