| Doctor Name: | DR. OJOMA EDEH HERR |
| NPI Number: | 1053715391 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 102939042 |
| Business Practice Address: | 118 W Willow Rd Willow Street, PA - 175849322 |
| Business Phone Number: | 7179403563 |
| Business Fax Number: | |
| Mailing Address: | 118 W Willow Rd, WILLOW STREET |
| State: | PA |
| Postal Code: | 175849322 |
| Phone Number: | 7179403563 |
| Fax Number: | |
| NPI Enumeration Date: | 10/15/2014 |
| NPI Last Update Date: | 10/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TM1800X |
| License Number: | 102939042 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Mental Retardation & Developmental Disabilities |
| Taxonomy Definition: | |