Individual
DR. DEBRA SUE HERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
528 N MAIN ST UNIT 3, PROVIDENCE, RI 02904-5757
(401) 282-9412
Mailing address
528 N. MAIN ST. #3, PROVIDENCE, RI 02904
(401) 282-9412
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS00706
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29482-7
BLUE CROSS-BLUE SHIELD
RI
Enumeration date
03/29/2007
Last updated
07/08/2007
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