Charles Michael Herrmann

NPI #1801393673 in Fenton, Missouri

Provider Information

NPI Number: 1801393673
Entity Type: Individual
Name: Charles Michael Herrmann
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 9, 2018
Last Updated: Apr 9, 2018

Practice Location

Address: 17 DIXIE DR
City: Fenton
State: Missouri
ZIP Code: 63026-4502
Phone: (314) 609-1946

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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