Herder, Carol

Herder, Carol is an individual health care provider with primary practice located at 10123 Senate Dr 1St Floor, Lanham MD 20706-4367. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Herder, Carol can be contacted via phone (301) 459-9840.

Contact Information

Primary practice address
10123 Senate Dr 1St Floor Lanham MD 20706-4367
Fax: (301) 459-4856
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LGP154 Maryland

Profile Details

NPI number 1467663849
LBN Legal business name Herder, Carol
Credentials LGPC
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2007
Last updated Nov 1st, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467663849 NPPES
Maryland MEDICAID LGP154

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