Provider Demographics
NPI:1770674392
Name:HERNDON, LUCINDA NAPIER (LPA)
Entity Type:Individual
Prefix:MRS
First Name:LUCINDA
Middle Name:NAPIER
Last Name:HERNDON
Suffix:
Gender:F
Credentials:LPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 34
Mailing Address - Street 2:
Mailing Address - City:BUMPUS MILLS
Mailing Address - State:TN
Mailing Address - Zip Code:37028-0034
Mailing Address - Country:US
Mailing Address - Phone:910-850-1022
Mailing Address - Fax:
Practice Address - Street 1:650 JOEL DR
Practice Address - Street 2:
Practice Address - City:FORT CAMPBELL
Practice Address - State:KY
Practice Address - Zip Code:42223-5318
Practice Address - Country:US
Practice Address - Phone:910-850-1022
Practice Address - Fax:910-270-7988
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2604103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist