Provider Demographics
NPI:1417123894
Name:HERRMAN, CANDANCE ANNE (MSS, LCSW)
Entity Type:Individual
Prefix:MS
First Name:CANDANCE
Middle Name:ANNE
Last Name:HERRMAN
Suffix:
Gender:F
Credentials:MSS, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9525 KISTLER VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:KEMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:19529-9195
Mailing Address - Country:US
Mailing Address - Phone:610-756-0059
Mailing Address - Fax:
Practice Address - Street 1:1600 LEHIGH PKWY E
Practice Address - Street 2:SUITE 1F, REGENCY TOWERS
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-3000
Practice Address - Country:US
Practice Address - Phone:610-462-3060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0141131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical