DR. HENRY M BOUDIN PHD
NPI 1104916469
Psychologist - Clinical in Renton, WA

Active since October 14, 2006
3900 E VALLEY RD, SUITE 100, RENTON, WA 98055(425) 251-0698(425) 251-8974 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Henry M Boudin Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HENRY M BOUDIN PHD (NPI 1104916469) is an individual clinical provider in Renton, Washington, licensed in Washington (1001) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1104916469
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. HENRY M BOUDINCredential: PHD
Location Address3900 E VALLEY RD, SUITE 100Renton, WA 98055-4954
Mailing Address3900 E Valley Rd, Suite 100Renton, WA 98055-4954 · (425) 251-0698 · Fax (425) 251-8974
Fax(425) 251-8974
Sole ProprietorYes
Enumeration DateOctober 14, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1104916469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in WA · 1001
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
3900 E VALLEY RD, Renton, WA 98055

Other Identifiers 1

Medicare ID-Type UnspecifiedAB06998WA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Medical Specialty)
3900 E VALLEY RD, STE 101
RENTON, WA 98055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Henry Boudin's NPI number?

The NPI number for Henry Boudin is 1104916469. It was assigned to this individual provider in the NPPES registry on October 14, 2006.

Where is Henry Boudin located?

Henry Boudin practices at 3900 E Valley Rd Suite 100, Renton, WA 98055. The listed phone number is (425) 251-0698.

What is Henry Boudin's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Henry Boudin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.