Provider Demographics
NPI:1184742421
Name:HERRINGTON, DEBRA
Entity type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:
Last Name:HERRINGTON
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 1:4335 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-2803
Mailing Address - Country:US
Mailing Address - Phone:562-485-2276
Mailing Address - Fax:562-490-9759
Practice Address - Street 1:411 N HARBOR BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:SAN PEDRO
Practice Address - State:CA
Practice Address - Zip Code:90731-2200
Practice Address - Country:US
Practice Address - Phone:562-485-2276
Practice Address - Fax:562-490-9759
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health