Individual provider · NPI-1
Paula Henriquez, Psy.D.
Psychologist, Clinical Child & Adolescent · Germantown, MD
NPI number1598071433
StatusActive
Last updated in NPPESJan 15, 2019
Details
- NPI
- 1598071433
- Entity type
- Individual (NPI-1)
- Name
- Paula Henriquez
- Credential
- Psy.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2010
- Last updated
- Jan 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC2200X | Psychologist, Clinical Child & Adolescent | – | – | Yes |
Practice location
19733 Executive Park CirGermantown, MD 20874-2642
Phone 240-750-6467
Mailing address
60 Market StSuite 213
Gaithersburg, MD 20878-6548
Phone 240-750-6467
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