Individual
JOSEPH DAVID HERDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
114 11TH AVE N, PRINCETON, MN 55371-1411
(218) 770-6527
Mailing address
114 11TH AVE N, PRINCETON, MN 55371-1411
(218) 770-6527
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1066
MN
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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