Individual
MELISSA HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
427 DAUB AVE, HEWLETT, NY 11557-1136
(917) 679-1612
Mailing address
427 DAUB AVE, HEWLETT, NY 11557-1136
(917) 679-1612
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
018771
NY
103TC0700X
Clinical Psychologist
5449
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47-3767975
TAX ID #
NJ
Enumeration date
09/14/2018
Last updated
09/14/2018
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