Shirley Blanche Herbel, PHD
Individual provider Active NPI Clinical Psychologist · Fort Meade, SD
NPI 1497847958 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497847958
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 385 (SD)
- Practice address
- 113 Comanche Rd
Fort Meade, SD 57741-1002 - Phone
- (605) 720-7000
- NPI assigned
- Sep 29, 2006
- 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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 385 | SD | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 385 | SD | Yes |
Addresses
Primary practice location
113 Comanche Rd
Fort Meade, SD 57741-1002
Mailing address
113 Comanche Rd
Fort Meade, SD 57741-1002
Other names
- Shirley Blanche Moen
Other providers in Fort Meade, SD
- Arlene M Heberden
- Lindsay Heimann
- Vickie Marie Heinrich
- Aleisia Hekrdle
- James Hellekson
- Jamison Hild
- Tami Jo Hines
- Carrie Lynn Hock
- Brenda Jean Hodges
- Nicole Hofer
All providers in Fort Meade, SD · Clinical Psychologist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.