Individual
BRIANNE EILEEN HENRY-MCALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
21900 WILLAMETTE DR STE 202, WEST LINN, OR 97068
(503) 653-0631
(503) 653-1464
Mailing address
21900 WILLAMETTE DR STE 202, WEST LINN, OR 97068-3284
(503) 653-0631
(503) 653-1464
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004833
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2977
OREGON PSYCHOLOGIST LICENSE
OR
Enumeration date
09/03/2013
Last updated
08/30/2018
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