MR. BLAKE DANIEL HERD


Address: 1501 Highwoods Blvd Ste 101, Greensboro, NC 27410-2051
Phone: 3362720855

MR. BLAKE DANIEL HERD (NPI# 1770181059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770181059
Entity Type Individual
Full Name MR. BLAKE DANIEL HERD
Credential MA, LPA
Practice Address 1501 Highwoods Blvd Ste 101
Greensboro
NC 27410-2051
Practice Telephone 3362720855
Mailing Telephone 3362720855
Enumeration Date 2020-10-09
Last Update Date 2020-10-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
5785 NC Behavioral Health & Social Service Providers

Office Location

Street Address 1501 HIGHWOODS BLVD STE 101
City GREENSBORO
State NC
Zip Code 27410-2051

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1669095014 Well-spring Home Care LLC In Home Supportive Care 3859 Battleground Avenue, Suite 301, Greensboro, NC 27410 2020-05-20
1679139372 Iora Health North Carolina, P.C. Internal Medicine 3351 Battleground Ave., Greensboro, NC 27410 2019-05-17
1669950689 Matthew W Devaney Dds @ Brassfield, Pa Dentist 2018 New Garden Rd D., Greensboro, NC 27410 2018-08-01
1306323951 Carolina Children's Eye Care, Pa Ophthalmology Friendly-holden Building, 3608 W Friendly Ave, Suite 101, Greensboro, NC 27410 2018-07-26
1457846495 Courtney Canty James Pharmacist 3300 W Friendly Ave, Greensboro, NC 27410 2018-06-22
1063904506 Jonathan Hunt Dentist 5506 W Friendly Ave Ste 101, Greensboro, NC 27410 2018-05-31
1487158549 Ruth Ann Foster Registered Nurse 3005 Steepleton Colony Court, Greensboro, NC 27410 2018-03-22
1568973360 Novant Medical Group Inc. Internal Medicine 1622 Highwoods Blvd Unit G105, Greensboro, NC 27410 2017-10-19
1942724729 Greenbrook Tms Greensboro LLC Psychiatry & Neurology 1931 New Garden Rd Ste 108, Greensboro, NC 27410 2017-08-02
1750810156 Ibrahim Koroma Home Health Aide 4907 Hickory Woods Dr, Greensboro, NC 27410 2017-06-08
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952943540 Noah Keita N'youngou Christophe Psychologist 1100 W Market St Fl 2, Greensboro, NC 27403-1830 2019-10-15
1427575844 Kathleen Mcgrady Psychologist 1121 Careywood St, Greensboro, GA 30642 2017-08-25
1821469123 Allison Coville Bray Psychologist 606 Walter Reed Dr, Suite B, Greensboro, NC 27403-1114 2015-10-13
1992104350 Jessica Lorenzo-gaier Psychologist 1100 W Market St 3rd Floor, Greensboro, NC 27402 2014-08-21
1013341346 Garrick Keilan Rickard Psychologist 1407 Northfield St, Greensboro, NC 27403-1219 2013-08-22
1124378344 Eliza R Schenck Psychologist 2000 Pisgah Church Rd Ste 100, Greensboro, NC 27455-3311 2012-09-14
1922381912 Kelly Graves Psychologist 2110 Golden Gate Dr, Suite B, Greensboro, NC 27405-5600 2011-09-26
1689966855 Kristen Anne King Psychologist 1100 W Market St Fl 3, Greensboro, NC 27403-1830 2011-05-06
1396065587 Eileen Marie Leuthe Psychologist 5509b W Friendly Ave Ste 106, Greensboro, NC 27410-4249 2010-06-10
1447480991 Ann Flaherty Psychologist 4236 Sullivans Lake Dr, Greensboro, NC 27410-8230 2009-07-18
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Competitor

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City GREENSBORO
Zip Code 27410

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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