Provider Demographics
NPI:1134222912
Name:HERRING, DEANNE JEANNE (LMFT)
Entity type:Individual
Prefix:
First Name:DEANNE
Middle Name:JEANNE
Last Name:HERRING
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 TAUNTON LN
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06470-1409
Mailing Address - Country:US
Mailing Address - Phone:203-270-0124
Mailing Address - Fax:203-426-3779
Practice Address - Street 1:2 TAUNTON LN
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:CT
Practice Address - Zip Code:06470-1409
Practice Address - Country:US
Practice Address - Phone:203-270-0124
Practice Address - Fax:203-426-3779
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000466101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health