| Doctor Name: | DR. MARSHA LEE HERMAN |
| NPI Number: | 1043264005 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | PSY8468 |
| Business Practice Address: | 2725 Jefferson St Suite 10 Carlsbad, CA - 920081705 |
| Business Phone Number: | 7604345900 |
| Business Fax Number: | 7604349778 |
| Mailing Address: | 2725 Jefferson St, Suite 10 CARLSBAD |
| State: | CA |
| Postal Code: | 920081705 |
| Phone Number: | 7604345900 |
| Fax Number: | 7604349778 |
| NPI Enumeration Date: | 05/22/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY8468 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |