Provider Demographics
NPI:1902986540
Name:HENRY, JOSEPH WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:WILLIAM
Last Name:HENRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6940 S KINGS HWY
Mailing Address - Street 2:SUITE #208
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22310-3344
Mailing Address - Country:US
Mailing Address - Phone:703-313-0694
Mailing Address - Fax:703-313-0695
Practice Address - Street 1:6940 S KINGS HWY
Practice Address - Street 2:SUITE #208
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310-3344
Practice Address - Country:US
Practice Address - Phone:703-313-0694
Practice Address - Fax:703-313-0695
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01012406932084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry