Provider Demographics
NPI:1609931351
Name:COARD, HERBERT FLETCHER III (EDD)
Entity Type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:FLETCHER
Last Name:COARD
Suffix:III
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6490 S MCCARRAN BLVD STE B18
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-6121
Mailing Address - Country:US
Mailing Address - Phone:775-562-4509
Mailing Address - Fax:775-800-7033
Practice Address - Street 1:6490 S MCCARRAN BLVD STE B18
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-6121
Practice Address - Country:US
Practice Address - Phone:775-562-4509
Practice Address - Fax:775-800-7033
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0811000974103T00000X
VA0810003855103TC0700X
NVPY0767103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist