Doctor Name: | DR. GAYLE STRIAR HERMAN |
NPI Number: | 1336386796 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | P73453 |
Business Practice Address: | 24302 Northern Blvd Douglaston, NY - 113621150 |
Business Phone Number: | 7184236200 |
Business Fax Number: | 7184239762 |
Mailing Address: | 24302 Northern Blvd, DOUGLASTON |
State: | NY |
Postal Code: | 113621150 |
Phone Number: | 7184236200 |
Fax Number: | 7184239762 |
NPI Enumeration Date: | 01/07/2009 |
NPI Last Update Date: | 09/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | P73453 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |