| Mark A. Herrmann, Ph.d., P.c. | |
|
3705 N Bittersweet Dr Bloomington IN 47408-9656 | |
| (812) 331-0946 | |
| Not Available |
| Full Name | Mark A. Herrmann, Ph.d., P.c. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3705 N Bittersweet Dr, Bloomington, Indiana |
| Authorized Official Name and Position | Mark A. Herrmann (PRESIDENT) |
| Authorized Official Contact | 8123310946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A. Herrmann, Ph.d., P.c. 3705 N Bittersweet Dr Bloomington IN 47408-9656 Ph: (812) 331-0946 | Mark A. Herrmann, Ph.d., P.c. 3705 N Bittersweet Dr Bloomington IN 47408-9656 Ph: (812) 331-0946 |
| NPI Number | 1083859557 |
|---|---|
| Provider Enumeration Date | 12/11/2008 |
| Last Update Date | 12/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083859557 | NPI | - | NPPES |
| 200043730B | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 57000132A (Indiana) | Primary |
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