Healthcare Provider Details

I. General information

NPI: 1932555414
Provider Name (Legal Business Name): EMMA HERMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2016
Last Update Date: 05/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 N GLENWOOD AVE
CLIFTON HEIGHTS PA
19018-1609
US

IV. Provider business mailing address

600 N OLIVE ST
MEDIA PA
19063-2418
US

V. Phone/Fax

Practice location:
  • Phone: 610-626-5800
  • Fax:
Mailing address:
  • Phone: 610-566-7540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

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: