Doctor Name: | DR. CHARAINE EMILY HERALD |
NPI Number: | 1144289216 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 00002335 |
Business Practice Address: | 1919 70th Avenue West Suite D-4 University Place, WA - 98466 |
Business Phone Number: | 2535641193 |
Business Fax Number: | 2534396222 |
Mailing Address: | 1919 70th Avenue West, Suite D-4 UNIVERSITY PLACE |
State: | WA |
Postal Code: | 98466 |
Phone Number: | 2535641193 |
Fax Number: | 2534396222 |
NPI Enumeration Date: | 03/18/2006 |
NPI Last Update Date: | 08/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 00002335 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |