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NPI Code Detail

MEDICARE: MRS. WENDY DICKINSON HERRBERG LMHC

MEDICARE:  MRS. WENDY DICKINSON HERRBERG  LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor39001701AIN

General Provider Information

NPI Number : 1497962955
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. WENDY DICKINSON HERRBERG LMHC
Provider Business Mailing Address
First Line : 13589 AUBURN SPRINGS CIR
Second Line :
City : FISHERS
State : IN
Zip : 46038-9663
Country : US
Telephone Number : 317-773-5325
Fax Number :
Provider Business Practice Location Address
First Line : 6049 E 91ST ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-1304
Country : US
Telephone Number : 317-849-1261
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. WENDY DICKINSON HERRBERG LMHC” Practice Location

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