Provider Demographics
NPI:1639822141
Name:HENRY, ASIA N
Entity Type:Individual
Prefix:MS
First Name:ASIA
Middle Name:N
Last Name:HENRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:338 ABBEY TER
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-2902
Mailing Address - Country:US
Mailing Address - Phone:267-528-5748
Mailing Address - Fax:
Practice Address - Street 1:338 ABBEY TER
Practice Address - Street 2:
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-2902
Practice Address - Country:US
Practice Address - Phone:267-528-5748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-03
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician