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NPI Code Detail

MEDICARE: STEPHANIE KIRSTEN HERBERT MS

MEDICARE: STEPHANIE KIRSTEN HERBERT MS
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
1170300000XGenetic Counselor (M.S.)

General Provider Information

NPI Number : 1578589628
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE KIRSTEN HERBERT MS
Provider Business Mailing Address
First Line : 934 FOUNTAIN AVE
Second Line :
City : PACIFIC GROVE
State : CA
Zip : 93950-4908
Country : US
Telephone Number : 617-869-0003
Fax Number :
Provider Business Practice Location Address
First Line : 212 SAN JOSE ST
Second Line : SUITE 311
City : SALINAS
State : CA
Zip : 93901-3928
Country : US
Telephone Number : 831-759-3269
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 07/08/2007

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Directions to “ STEPHANIE KIRSTEN HERBERT MS” Practice Location

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