Diana V Hermansen, PH.D.
Individual provider Active NPI Psychologist · Delray Beach, FL
NPI 1659547826 · NPPES record last updated Jul 7, 2014
Key facts
- NPI
- 1659547826
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PY5276 (FL)
- Practice address
- 2590 Albatross Rd N
Unit B
Delray Beach, FL 33444-3212 - Phone
- (561) 703-4011
- NPI assigned
- May 7, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY5276 | FL | Yes |
Addresses
Primary practice location
2590 Albatross Rd N
Unit B
Delray Beach, FL 33444-3212
Mailing address
2590 Albatross Rd N
Unit B
Delray Beach, FL 33444-3212
Phone (561) 703-4011
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PY5276 | Other | FL | MEDICARE |
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2014. 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.