Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 021472 | NY |
N | 103T00000X | Psychologist | 021472 | NY |
Y | 102L00000X | Psychologist | 10796 | MA |
Y | 103T00000X | Psychologist | 10796 | MA |
NPI | 1003576935 |
---|---|
Provider Name | Dr. Jocelyn Henin |
First Address | Florence, MA 01062-2710 |
Second Address | Boston, MA 02109-4211 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2021 |
Last Update Date | 20/12/2021 |