Provider Demographics
NPI:1174631964
Name:HERRINGTON, ANNA N (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:N
Last Name:HERRINGTON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 GOVERNORS SQ
Mailing Address - Street 2:SUITE D
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30215-4863
Mailing Address - Country:US
Mailing Address - Phone:770-486-9660
Mailing Address - Fax:770-486-0366
Practice Address - Street 1:118 GOVERNORS SQ
Practice Address - Street 2:SUITE D
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30215-4863
Practice Address - Country:US
Practice Address - Phone:770-486-9660
Practice Address - Fax:770-486-0366
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY002954103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical