Dominic David Hermann, is a 
Psychologist - Counseling based in Gresham, Wisconsin. Dominic David Hermann is licensed to practice in * (Not Available) (license number ) and his current practice location is 
N2150 Kesaehkahtek Rd, Gresham, Wisconsin. He can be reached at his office (for appointments etc.) via phone at 
(715) 799-3835.
NPI number for Dominic David Hermann is 1497592562 and his current mailing address is 3059 N Weil St Unit 110, Milwaukee, Wisconsin. He 
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497592562.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Dominic David Hermann | 
|---|
| Gender | Male | 
|---|
| Speciality | Psychologist - Counseling | 
|---|
| Location | N2150 Kesaehkahtek Rd, Gresham, Wisconsin | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1497592562
 - Provider Enumeration Date: 07/15/2024
 - Last Update Date: 07/15/2024
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Dominic David Hermann such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1497592562 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 103TC1900X | Psychologist - Counseling  |  (* (Not Available)) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dominic David Hermann is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Dominic David Hermann, 3059 N Weil St Unit 110, Milwaukee, WI 53212-2281 Ph: (414) 394-4773 | Dominic David Hermann, N2150 Kesaehkahtek Rd, Gresham, WI 54128-9602 Ph: (715) 799-3835 | 
		
		 
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