Provider Demographics
NPI:1134384621
Name:HERM, AMY JO
Entity type:Individual
Prefix:MISS
First Name:AMY
Middle Name:JO
Last Name:HERM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6043 DEWHIRST DR
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48638-4382
Mailing Address - Country:US
Mailing Address - Phone:989-751-3950
Mailing Address - Fax:
Practice Address - Street 1:6043 DEWHIRST DR
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48638-4382
Practice Address - Country:US
Practice Address - Phone:989-751-3950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant