Provider Demographics
NPI:1467884940
Name:HER, MYMEE (PHD)
Entity Type:Individual
Prefix:DR
First Name:MYMEE
Middle Name:
Last Name:HER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2844 E VERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-5327
Mailing Address - Country:US
Mailing Address - Phone:559-313-0278
Mailing Address - Fax:
Practice Address - Street 1:2844 E VERMONT AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-5327
Practice Address - Country:US
Practice Address - Phone:559-313-0278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-06
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY22396103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADRMYMEEHEROtherMENTAL HEALTH