Provider Demographics
NPI:1407972102
Name:VAN OOIJEN, HERMAN
Entity Type:Individual
Prefix:
First Name:HERMAN
Middle Name:
Last Name:VAN OOIJEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 GENESEE ST
Mailing Address - Street 2:COUNSELING CENTER OF NEW HARTFORD
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-2323
Mailing Address - Country:US
Mailing Address - Phone:315-724-6702
Mailing Address - Fax:315-792-9294
Practice Address - Street 1:107 GENESEE ST
Practice Address - Street 2:COUNSELING CENTER OF NEW HARTFORD
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413-2323
Practice Address - Country:US
Practice Address - Phone:315-724-6702
Practice Address - Fax:315-792-9294
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist