| Doctor Name: | MS. KIRSTEN BOYE HERMAN |
| NPI Number: | 1477653426 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, LPC |
| License Number: | 0701002409 |
| Business Practice Address: | 600 E Main St Ste C Radford, VA - 241411826 |
| Business Phone Number: | 5407310838 |
| Business Fax Number: | 5407313375 |
| Mailing Address: | 600 E Main St Ste C, RADFORD |
| State: | VA |
| Postal Code: | 241411826 |
| Phone Number: | 5407310838 |
| Fax Number: | 5407313375 |
| NPI Enumeration Date: | 09/22/2006 |
| NPI Last Update Date: | 12/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0701002409 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |