| Herring & Niederjohn Psychological Associates, P.c. | |
|
8910 Main St Woodstock GA 30188-4916 | |
| (770) 924-1818 | |
| (770) 928-5731 |
| Full Name | Herring & Niederjohn Psychological Associates, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 8910 Main St, Woodstock, Georgia |
| Authorized Official Name and Position | Melissa Herring (PRESIDENT, PSYCHOLOGIST) |
| Authorized Official Contact | 7709241818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Herring & Niederjohn Psychological Associates, P.c. 8910 Main St Woodstock GA 30188-4916 Ph: () - | Herring & Niederjohn Psychological Associates, P.c. 8910 Main St Woodstock GA 30188-4916 Ph: (770) 924-1818 |
| NPI Number | 1992839468 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9638558604 |
|---|---|
| Medicare Enrollment ID | O20220622000393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992839468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Daniel Mark Niederjohn |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1689644700 PECOS PAC ID: 0547649519 Enrollment ID: I20220623000639 |
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