Provider Demographics
NPI:1467554147
Name:HERMAN, PAUL I (MED PHD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:I
Last Name:HERMAN
Suffix:
Gender:M
Credentials:MED PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 TERMINAL WAY STE 525A
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-1216
Mailing Address - Country:US
Mailing Address - Phone:412-481-8833
Mailing Address - Fax:412-481-3934
Practice Address - Street 1:33 TERMINAL WAY STE 525A
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-1216
Practice Address - Country:US
Practice Address - Phone:412-481-8833
Practice Address - Fax:412-481-3934
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC001261101Y00000X, 101YA0400X, 101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional