Individual
MARK A HERRMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD HSPP
Contact information
Practice address
9106 N MERIDIAN ST, STE 100, INDIANAPOLIS, IN 46260-1884
(317) 575-9111
(317) 571-4470
Mailing address
9106 N MERIDIAN ST, STE 100, INDIANAPOLIS, IN 46260-1884
(317) 575-9111
(317) 571-4470
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040942A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000374776
BCBS
—
Enumeration date
05/17/2006
Last updated
07/08/2007
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