Individual
DR. HEATHER HENKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1050 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776-1214
(631) 676-1962
(631) 676-1959
Mailing address
1050 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776-1214
(631) 676-1962
(631) 676-1959
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
020964
NY
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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