Individual
KAREN MARGARET HERDZIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
377 MAIN ST UPPR, EAST AURORA, NY 14052-1735
(716) 393-2995
(855) 704-1612
Mailing address
160 STREIF RD, ELMA, NY 14059-9685
(716) 393-2995
(855) 704-1612
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
023755-01
NY
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
PY60652236
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6001312
—
NC
Enumeration date
06/23/2010
Last updated
07/12/2022
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