Individual
DR. HENRY CHRISTOPHER KOEHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., MSCP
Contact information
Practice address
195 EAST RD STE 104, LOS ALAMOS, NM 87544-4301
(505) 412-7756
Mailing address
60 CANYON VW, LOS ALAMOS, NM 87544-2876
(505) 500-5812
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0923
NM
103TP0016X
Prescribing (Medical) Psychologist
Primary
PSY-2023-0072
NM
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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