Herdman, Mary A

Herdman, Mary A is an sole proprietor health care provider with primary practice located at 24 Pinckney Rd Apt A , Red Bank NJ 07701-2123. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Herdman, Mary A can be contacted via phone (732) 747-8280.

Contact Information

Primary practice address
24 Pinckney Rd Apt A Red Bank NJ 07701-2123
Fax: (732) 842-0372
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC001934000 New Jersey

Profile Details

NPI number 1609923465
LBN Legal business name Herdman, Mary A
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Jul 8th, 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 1609923465 NPPES
New Jersey Other 4216798 AETNA
New Jersey Other 7496330 AETNA

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