NPI 1023393923

Jason Henle, PHD

Practitioner Clinical Psychologist Augusta, GA

Practice location

Address: 997 Saint Sebastian Way, Augusta, GA 30912-2613
Phone: (706) 721-6597
Fax: (706) 721-6602
Mailing address: 1120 15th St STE Bi1056, Augusta, GA 30912-0004

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PSY003374 (GA)

Other Psychologist providers in Georgia →

Registry record

NPI: 1023393923
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Oct 2011
Record last updated: 28 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.