Individual
DR. HERBERT WALTER MCMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
11555 1/2 POTRERO RD, MORONGO INDIAN RESERVATION, BANNING, CA 92220-6946
(800) 732-8805
(951) 487-9627
Mailing address
PO BOX 1426, PAUMA VALLEY, CA 92061-1426
(760) 742-2048
(951) 487-9627
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY12097
CA
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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