Abbey Herendeen, SCHOOL PSYCHOLOGIST
Individual provider Active NPI School Psychologist · Columbia City, IN
NPI 1467287342 · NPPES record last updated Oct 7, 2024
Key facts
- NPI
- 1467287342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 14611678 (IN)
- Practice address
- 107 N Walnut St
Columbia City, IN 46725-2066 - Phone
- (260) 244-5771
- NPI assigned
- Sep 3, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14611678 | IN | MD | School Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 14611678 | IN | Yes |
Addresses
Primary practice location
107 N Walnut St
Columbia City, IN 46725-2066
Mailing address
107 N Walnut St
Columbia City, IN 46725-2066
Phone (260) 244-5771
Other providers in Columbia City, IN
- Carrie L Hauck
- Lyndsay Hayes
- Madison Heinen
- Landon Hendrix
- Andrew J Henry
- David Lee Hestand III
- Rebecca Ann Hill
- Joseph Hoffman
- Renae Hoffman
- Hook-Superx LLC
All providers in Columbia City, IN · School Psychologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.