Organization
DAVID HENRY, PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CARL HENRY PH.D. (SELF EMPLOYER)
(860) 423-1352
Entity
Organization
Contact information
Practice address
207 STORRS RD, P.O. 740, MANSFIELD CENTER, CT 06250-1638
(860) 428-4103
Mailing address
8 ADELINE PL, MANSFIELD CENTER, CT 06250-1656
(860) 423-1352
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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