Individual
KRISTEN HENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2700 W 9TH AVE, OSHKOSH, WI 54904-7247
(920) 236-1909
Mailing address
2700 W 9TH AVE, OSHKOSH, WI 54904-7247
(920) 236-1909
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
674-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39110500
—
WI
Enumeration date
03/06/2007
Last updated
07/08/2007
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