Individual
DR. ELLEN C HERRENKOHL
Active
Individual
DR. ELLEN C HERRENKOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS000796-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005780270
AETNA
PA
01
—
0051300000
INDEPENDENCE BLUE CROSS
PA
01
—
02437700
CAPITOL BLUE CROSS
PA
01
—
30631
PA BLUE SHIELD
PA
Enumeration date
01/19/2006
Last updated
06/30/2010
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