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Contact Information

MICHAEL R HENRY, PhD
831 ALAMO DR STE 6B
VACAVILLE, CA95688
 Phone: 707-624-9767
 Fax: 707-471-4140
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MICHAEL R HENRY · (Male)

NPI # 1043463714
Status Active
Credentials PhD
Entity Individual
Enumeration date 10/28/2008
Last updated 08/15/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # PSY22614
  • CO License # 9724
  • CO License # LP3321
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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