Herrmann, Mark A

Herrmann, Mark A is an individual health care provider with primary practice located at 9106 N Meridian St Ste 100, Indianapolis IN 46260-1884. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Herrmann, Mark A can be contacted via phone (317) 575-9111.

Contact Information

Primary practice address
9106 N Meridian St Ste 100 Indianapolis IN 46260-1884
Phone: (317) 575-9111
Fax: (317) 571-4470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20040942A Indiana

Profile Details

NPI number 1548212392
LBN Legal business name Herrmann, Mark A
Credentials PHD HSPP
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 8th, 2007 - about 18 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 1548212392 NPPES
Other 000000374776 BCBS

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