Provider Demographics
NPI:1689782211
Name:HENCHEY, BRYAN E (MS)
Entity Type:Individual
Prefix:MR
First Name:BRYAN
Middle Name:E
Last Name:HENCHEY
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 84 BOX 130
Mailing Address - Street 2:
Mailing Address - City:LAHMANSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26731-9700
Mailing Address - Country:US
Mailing Address - Phone:304-749-8862
Mailing Address - Fax:
Practice Address - Street 1:130 CENTER ST
Practice Address - Street 2:MOUNTAIN STATE PSYCHOLOGICAL SERVICES, PLLC
Practice Address - City:KEYSER
Practice Address - State:WV
Practice Address - Zip Code:26726-3520
Practice Address - Country:US
Practice Address - Phone:304-788-1113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health