Henry, Jacqueline

Henry, Jacqueline is an individual health care provider with primary practice located at 3702 W Truman Blvd Suite 115, Jefferson City MO 65109-4970. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Henry, Jacqueline can be contacted via phone (573) 634-5303.

Contact Information

Primary practice address
3702 W Truman Blvd Suite 115 Jefferson City MO 65109-4970
Phone: (573) 634-5303
Fax: (573) 761-6888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 33758 Missouri

Profile Details

NPI number 1962448696
LBN Legal business name Henry, Jacqueline
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962448696 NPPES
Missouri Other 33758 STATE LICENSES

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