Individual
DR. NATHAN D HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
800 WEST MAPLE STREET, MEDICAL LAKE, WA 99022-0800
(509) 299-3121
Mailing address
PO BOX 800, MEDICAL LAKE, WA 99022-0800
(509) 299-3121
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00003467
WA
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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