Doctor Name: | LISA HERR |
NPI Number: | 1023226065 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | 60085960 |
Business Practice Address: | 412 S 12th Ave Yakima, WA - 989023115 |
Business Phone Number: | 5094692160 |
Business Fax Number: | |
Mailing Address: | 5309 Englewood Hill Dr, YAKIMA |
State: | WA |
Postal Code: | 989082344 |
Phone Number: | 5094692160 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 04/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 60085960 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |