| Doctor Name: | WILLIAM MARTIN O'HERRICK |
| NPI Number: | 1023245271 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | BSED |
| License Number: | 15685182 |
| Business Practice Address: | 131 Market St Johnstown, PA - 159011628 |
| Business Phone Number: | 8145352277 |
| Business Fax Number: | |
| Mailing Address: | 711 Adams Ave, MINERAL POINT |
| State: | PA |
| Postal Code: | 159425909 |
| Phone Number: | 8143223303 |
| Fax Number: | |
| NPI Enumeration Date: | 06/15/2009 |
| NPI Last Update Date: | 06/15/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 15685182 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |