Organization Name: | DELEA HERBER PHD |
NPI Number: | 1396993093 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHRYN DELEA HERBER (PSYCHOLOGIST) |
Mailing Address: | 7132 Stewart Ln Benbrook |
State: | TX US |
Postal Code: | 761264611 |
Phone Number: | 8177984324 |
Fax Number: | |
NPI Enumeration Date: | 09/05/2008 |
NPI Last Update Date: | 09/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | 32212 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |