Provider Demographics
NPI:1215587209
Name:HERRING, ANN BEVERLY
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:BEVERLY
Last Name:HERRING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 ASCOT DR
Mailing Address - Street 2:
Mailing Address - City:BELVIDERE
Mailing Address - State:NJ
Mailing Address - Zip Code:07823-3201
Mailing Address - Country:US
Mailing Address - Phone:908-750-6439
Mailing Address - Fax:
Practice Address - Street 1:3 ASCOT DR
Practice Address - Street 2:
Practice Address - City:BELVIDERE
Practice Address - State:NJ
Practice Address - Zip Code:07823-3201
Practice Address - Country:US
Practice Address - Phone:908-750-6439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-12
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist