Provider Demographics
NPI:1225216195
Name:HERRMANN, KERRY (AUD)
Entity type:Individual
Prefix:
First Name:KERRY
Middle Name:
Last Name:HERRMANN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:KERRY
Other - Middle Name:
Other - Last Name:DORFFNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:39 ALLSMEER DR
Mailing Address - Street 2:
Mailing Address - City:WEST GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19390-8802
Mailing Address - Country:US
Mailing Address - Phone:856-745-6353
Mailing Address - Fax:
Practice Address - Street 1:1941 LIMESTONE RD
Practice Address - Street 2:SUITE 210
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-5408
Practice Address - Country:US
Practice Address - Phone:302-998-0300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-04
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YA00073300231H00000X
PAAT006021231H00000X
DE030000231237700000X
DE020000171231H00000X
NJ25MG00111900237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist