| Doctor Name: | MR. WALTER JOHN HERRMANN |
| NPI Number: | 1023084506 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A, |
| License Number: | PE0000001187 |
| Business Practice Address: | 650 Joel Dr. Blanchfield Army Community Hospital Fort Campbell, KY - 422235349 |
| Business Phone Number: | 2707988372 |
| Business Fax Number: | |
| Mailing Address: | 650 Joel Dr., Blanchfield Army Community Hospital FORT CAMPBELL |
| State: | KY |
| Postal Code: | 422235349 |
| Phone Number: | 2707988372 |
| Fax Number: | |
| NPI Enumeration Date: | 02/24/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | PE0000001187 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |