| NPI | 1518186683 |
|---|---|
| Former Legal Business Name | KENNETH L. HERMAN, PH.D. |
| Entity Type | Organization |
| Authorized Contact | KENNETH L. HERMAN President 323-344-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY10916) |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging (Licence: CA PSY10916) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA PSY10916) | |
| 103TC0700X Psychologist Clinical (Licence: CA PSY10916) | |
| 103TC1900X Psychologist Counseling (Licence: CA PSY10916) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY10916) | |
| 103TF0000X Psychologist Family (Licence: CA PSY10916) | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: CA PSY10916) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MN24462) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |