Individual
HEATHER C HENRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9000 W WISCONSIN AVE, WAUWATOSA, WI 53226-4874
(414) 266-2939
Mailing address
PO BOX 1997, CHILDREN'S HOSPITAL OF WISCONSIN, MS750, MILWAUKEE, WI 53201-1997
(414) 266-2939
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2790-057
WI
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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