Provider Demographics
NPI:1114332228
Name:DORSETT, HENRY
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:
Last Name:DORSETT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3940 SOLID DR
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-4398
Mailing Address - Country:US
Mailing Address - Phone:956-545-4649
Mailing Address - Fax:
Practice Address - Street 1:3940 SOLID DR
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-4398
Practice Address - Country:US
Practice Address - Phone:956-545-4649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-26
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging