Organization
STEVEN MARK HERMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN MARK HERMAN PH.D., HSPP (SOLE PROPRIETOR)
(317) 334-1481
Entity
Organization
Contact information
Practice address
1844 CENTURY WAY, SUITE #1, INDIANAPOLIS, IN 46260-5558
(317) 334-1481
(317) 581-9017
Mailing address
1844 CENTURY WAY, SUITE #1, INDIANAPOLIS, IN 46260-5558
(317) 334-1481
(317) 581-9017
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040762A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100380620B
—
IN
01
—
275322000
MAGELLAN
IN
Enumeration date
08/26/2006
Last updated
06/18/2008
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