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NPI Code Detail

MEDICARE: DR. LYLE HERMAN

MEDICARE:  DR. LYLE  HERMAN
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
1103T00000XPsychologistPSY 724HI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2228973OTHERHIHMSA PROVIDER #

General Provider Information

NPI Number : 1689612707
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LYLE HERMAN
Provider Business Mailing Address
First Line : 1188 BISHOP ST
Second Line : SUITE 3102
City : HONOLULU
State : HI
Zip : 96813-3301
Country : US
Telephone Number : 808-545-4585
Fax Number : 808-545-4737
Provider Business Practice Location Address
First Line : 1188 BISHOP ST
Second Line : SUITE 3102
City : HONOLULU
State : HI
Zip : 96813-3301
Country : US
Telephone Number : 808-545-4585
Fax Number : 808-545-4737
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 07/08/2007

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Directions to “ DR. LYLE HERMAN ” Practice Location

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