Provider Demographics
NPI:1194039255
Name:HERMAN, ARYEH (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ARYEH
Middle Name:
Last Name:HERMAN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 HAZEL TER
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:CT
Mailing Address - Zip Code:06525-2209
Mailing Address - Country:US
Mailing Address - Phone:203-848-7590
Mailing Address - Fax:
Practice Address - Street 1:1669 THOMASTON AVE
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06704-1026
Practice Address - Country:US
Practice Address - Phone:203-805-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-01
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT3075103TC0700X
NY018332-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical