Doctor Name: | NADINE ANN-MARIE HENRY |
NPI Number: | 1730464298 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SS1075 |
Business Practice Address: | 1736 Dunn Cove Drive Apopka, FL - 32703 |
Business Phone Number: | 4074462223 |
Business Fax Number: | |
Mailing Address: | 1736 Dunn Cove Drive, APOPKA |
State: | FL |
Postal Code: | 32703 |
Phone Number: | 4074462223 |
Fax Number: | |
NPI Enumeration Date: | 10/17/2011 |
NPI Last Update Date: | 10/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | SS1075 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |