Herron, Janice E
Herron, Janice E is an individual health care provider with primary practice located at 6767 N Wickham Rd Ste 306 , Melbourne FL 32940-2025. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Family is her primary health care specialty. Herron, Janice E can be contacted via phone (321) 751-1925.Contact Information
Primary practice address
6767 N Wickham Rd Ste 306
Melbourne FL 32940-2025
Phone: (321) 751-1925
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Family | 103TF0000X | 03722 | Maryland |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY11448 | Florida |
Profile Details
NPI number | 1457355273 |
---|---|
LBN Legal business name | Herron, Janice E |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 9th, 2005 |
Last updated | Jun 22nd, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1457355273 | NPPES |
Other | NA | NA | |
Other | 588076 | NA |
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