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NPI Code Detail

MEDICARE: AUSTIN L HERMAN BA

MEDICARE:   AUSTIN L HERMAN  BA
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1720454275
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUSTIN L HERMAN BA
Provider Business Mailing Address
First Line : 5863 W ATLANTIC PL
Second Line :
City : LAKEWOOD
State : CO
Zip : 80227-2541
Country : US
Telephone Number : 719-650-8201
Fax Number :
Provider Business Practice Location Address
First Line : 5931 MIDDLEFIELD RD STE 102
Second Line :
City : LITTLETON
State : CO
Zip : 80123-2865
Country : US
Telephone Number : 303-564-9987
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2015
Last Update Date : 06/25/2019

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Directions to “ AUSTIN L HERMAN BA” Practice Location

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