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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457355273 NPPES
Other NA NA
Other 588076 NA

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