Herdzik, Karen Margaret
Herdzik, Karen Margaret is an individual health care provider with primary practice located at 377 Main St Uppr , East Aurora NY 14052-1735. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Herdzik, Karen Margaret can be contacted via phone (716) 393-2995.Contact Information
Primary practice address
377 Main St Uppr
East Aurora NY 14052-1735
Phone: (716) 393-2995
Fax: (855) 704-1612
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 023755-01 | New York |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY60652236 | Washington |
Profile Details
| NPI number | 1447561642 |
|---|---|
| LBN Legal business name | Herdzik, Karen Margaret |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2010 |
| Last updated | Jul 12th, 2022 - about 4 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 | 1447561642 | NPPES |
| North Carolina | MEDICAID | 6001312 |
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