Individual
DR. EVAN SAMUEL HENRITZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
158 W 124TH ST, NEW YORK, NY 10027-4919
(332) 243-0276
Mailing address
PO BOX 75, GREENFIELD, MA 01302-0075
(212) 489-0246
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
027511
NY
103TC0700X
Clinical Psychologist
048.0135374
VT
103TC0700X
Clinical Psychologist
Primary
P130942
NY
103TC0700X
Clinical Psychologist
PSY10001946
MA
Other
Enumeration date
09/16/2024
Last updated
05/15/2026
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