Individual
KELLY HERRMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 OLD COUNTRY RD STE C103N, WESTBURY, NY 11590-5156
(631) 747-8379
Mailing address
1400 OLD COUNTRY RD STE C103N, WESTBURY, NY 11590-5156
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3062616
NY
Other
Enumeration date
08/11/2022
Last updated
06/02/2025
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