Healthcare Provider Details

I. General information

NPI: 1548232564
Provider Name (Legal Business Name): BARBARA L HERMAN LPA
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1193 PEARL ST
EUGENE OR
97401
US

IV. Provider business mailing address

1193 PEARL ST
EUGENE OR
97401
US

V. Phone/Fax

Practice location:
  • Phone: 541-343-1937
  • Fax: 541-343-5875
Mailing address:
  • Phone: 541-343-1937
  • Fax: 541-343-5875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number5022
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: