Individual
MR. PHILIP J HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH D.
Contact information
Practice address
6201 S MILITARY TRL, LAKE WORTH, FL 33463-7288
(561) 967-6379
(561) 439-3769
Mailing address
6201 S MILITARY TRL, LAKE WORTH, FL 33463-7288
(561) 967-6379
(561) 439-3769
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
PY 6052
FL
103T00000X
Psychologist
Primary
PY 6052
FL
103TC0700X
Clinical Psychologist
PY6052
FL
103TC1900X
Counseling Psychologist
PY 6052
FL
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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