Individual
JANICE E HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6767 N WICKHAM RD STE 306, MELBOURNE, FL 32940-2025
(321) 751-1925
Mailing address
6767 N WICKHAM RD STE 306, MELBOURNE, FL 32940-2025
(321) 751-1925
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PY11448
FL
103TF0000X
Family Psychologist
Primary
03722
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
588076
MAMSI
MD
01
—
NA
NA
—
Enumeration date
06/09/2005
Last updated
06/22/2022
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