Individual
DR. ELLYN D HERB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Contact information
Practice address
1101 S WINCHESTER BLVD, SUITE M-258, SAN JOSE, CA 95128-3901
(408) 296-9600
(408) 225-1773
Mailing address
1101 S WINCHESTER BLVD, SUITE M-258, SAN JOSE, CA 95128-3901
(408) 296-9600
(408) 225-1773
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY10462
CA
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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