DR. OJOMA EDEH HERR


Address: 118 W Willow Rd, Willow Street, PA 17584-9322
Phone: 7179403563

DR. OJOMA EDEH HERR (NPI# 1053715391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053715391
Entity Type Individual
Full Name DR. OJOMA EDEH HERR
Practice Address 118 W Willow Rd
Willow Street
PA 17584-9322
Practice Telephone 7179403563
Mailing Telephone 7179403563
Enumeration Date 2014-10-15
Last Update Date 2014-10-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TM1800X Psychologist
Specialization: Mental Retardation & Developmental Disabilities
102939042 PA Behavioral Health & Social Service Providers

Office Location

Street Address 118 W WILLOW RD
City WILLOW STREET
State PA
Zip Code 17584-9322

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1992020309 Elizabeth A Trozzo Pharmacist 2600 Willow Street Pike, Willow Street, PA 17584 2010-03-30
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Taxonomy Information

Taxonomy Code 103TM1800X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Mental Retardation & Developmental Disabilities

Taxonomy Definition

Definition to come...

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Competitor

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City WILLOW STREET
Zip Code 17584

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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