Provider Demographics
NPI:1376656173
Name:HERBER, ANDREA IVONA (PSYD)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:IVONA
Last Name:HERBER
Suffix:
Gender:F
Credentials:PSYD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:RASI ASSOCIATES 607 BOYLSTON ST
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116
Mailing Address - Country:US
Mailing Address - Phone:617-266-2266
Mailing Address - Fax:617-266-6070
Practice Address - Street 1:607 BOYLSTON ST
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116
Practice Address - Country:US
Practice Address - Phone:617-266-2266
Practice Address - Fax:617-266-6070
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA7544103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical