Henry M Boudin is a Clinical in Renton, Washington. Henry M Boudin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Henry M Boudin is 1104916469. The last update date is 2007-07-08.
Henry M Boudin's current location address is 3900 E Valley Rd, Renton, Washington. You can contact this provider via phone number 4252510698 and fax number 4252518974. The mailing address for Henry M Boudin is 3900 E Valley Rd, Renton, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Henry M Boudin |
|---|---|
| Address | 3900 E Valley Rd, Renton, Washington |
| Phone Number | 4252510698 |
| Fax Number | 4252518974 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1104916469 |
|---|---|
| Provider Enumeration Date | 2006-10-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3900 E Valley Rd |
|---|---|
| City | Renton |
| State | Washington (WA) |
| Post Code | 980554954 |
| Phone Number | 4252510698 |
| Fax Number | 4252518974 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1001 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique provider identifier assigned to Henry M Boudin?
The Henry M Boudin has been issued the NPI (National Provider Identifier) 1104916469 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Henry M Boudin located?
The Henry M Boudin is located at 3900 E Valley Rd, Renton, WA 980554954.
What is the Henry M Boudin's specialty and taxonomy code?
The Henry M Boudin's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Henry M Boudin receive its 1104916469 assignment from the Centers for Medicare & Medicaid Services?
The Henry M Boudin was assigned its 1104916469 by the Centers for Medicare & Medicaid Services on 2006-10-14.
As of what date were the details pertaining to Henry M Boudin last refreshed?
The information related to the Henry M Boudin, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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