| Doctor Name: | DR. WILLIAM JOSEPH HERAN |
| NPI Number: | 1104187590 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D., LCSW |
| License Number: | CW016842 |
| Business Practice Address: | 355 Lancaster Ave Bldg. E, 2nd Floor Haverford, PA - 190411547 |
| Business Phone Number: | 2158347979 |
| Business Fax Number: | |
| Mailing Address: | 6 Summit Dr, BRYN MAWR |
| State: | PA |
| Postal Code: | 190102217 |
| Phone Number: | 2158347979 |
| Fax Number: | |
| NPI Enumeration Date: | 06/02/2012 |
| NPI Last Update Date: | 06/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CW016842 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |