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Individual

DR. ANITA R. HERRON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
330 W 58TH ST, SUITE 311, NEW YORK, NY 10019-1821
(212) 496-2710
Mailing address
330 W 58TH ST, SUITE 311, NEW YORK, NY 10019-1821
(212) 496-2710

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
8104
NY
103TC0700X
Clinical Psychologist
Primary
8104
NY

Other

Enumeration date
02/04/2007
Last updated
12/20/2012
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