Mark A. Herrmann, Ph.D., P.C.

LBN: Mark A. Herrmann, Ph.D., P.C.
Mark A. Herrmann, Ph.D., P.C. is an health care organization with primary practice located at 3705 N Bittersweet Dr , Bloomington IN 47408-9656. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Mark A. Herrmann, Ph.D., P.C. can be contacted via phone (812) 331-0946, or through Herrmann, Mark A. via phone (812) 331-0946.

Contact Information

Primary practice address
3705 N Bittersweet Dr Bloomington IN 47408-9656
Phone: (812) 331-0946
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Herrmann, Mark A. PH.D.
Phone: (812) 331-0946

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 57000132A Indiana

Profile Details

NPI number 1083859557
LBN Legal business name Mark A. Herrmann, Ph.D., P.C.
DBA Doing business as
Authorized official Herrmann, Mark A. PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2008
Last updated Dec 11th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083859557 NPPES
Indiana MEDICAID 200043730B

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