Provider Demographics
NPI:1891862256
Name:MCHENRY, ARTHUR S (MA)
Entity Type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:S
Last Name:MCHENRY
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 COUNTRY LANE
Mailing Address - Street 2:
Mailing Address - City:GLEN MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19342
Mailing Address - Country:US
Mailing Address - Phone:610-649-9799
Mailing Address - Fax:610-459-1372
Practice Address - Street 1:200 NORTH MONROE STREET
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063
Practice Address - Country:US
Practice Address - Phone:610-649-9799
Practice Address - Fax:610-459-1372
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1456101YA0400X
PAPS 004950 L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)