Individual
DANIELLE NICHOLE HERBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 E MAIN ST, DANVILLE, IN 46122-9467
(317) 745-7503
(317) 745-0663
Mailing address
1600 E MAIN ST, P.O. BOX 369, DANVILLE, IN 46122-9467
(317) 745-7503
(317) 745-0663
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
952768
IN
Other
Enumeration date
12/04/2009
Last updated
12/04/2009
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