O'Herron, Peter R

O'Herron, Peter R is an individual health care provider with primary practice located at 65 Park Ave Suite 105, Bay Shore NY 11706-7359. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. O'Herron, Peter R can be contacted via phone (631) 665-0229.

Contact Information

Primary practice address
65 Park Ave Suite 105 Bay Shore NY 11706-7359
Phone: (631) 665-0229
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 058540 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 058540 New York
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 058540 New York

Profile Details

NPI number 1578697900
LBN Legal business name O'Herron, Peter R
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Jul 8th, 2007 - about 19 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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