Henry M Boudin in Renton - Clinical

Henry M Boudin - NPI 1104916469

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
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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FAQs about Henry M Boudin

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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