Doctor Name: | MRS. SALLY L. HERMANN |
NPI Number: | 1083668958 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 44SC00444200 |
Business Practice Address: | 620 Lacey Rd Suite 5 Forked River, NJ - 087312244 |
Business Phone Number: | 6093126453 |
Business Fax Number: | |
Mailing Address: | 2219 E Bay Ter, SHIP BOTTOM |
State: | NJ |
Postal Code: | 080084342 |
Phone Number: | 6093611934 |
Fax Number: | 6093611934 |
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: | 101YM0800X |
License Number: | 44SC00444200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |