Provider Demographics
NPI:1487879680
Name:HERB, MARGARET SUE (MS)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:SUE
Last Name:HERB
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:PEG
Other - Middle Name:SUE
Other - Last Name:HERB
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:7732 COUNTY ROAD 68
Mailing Address - Street 2:
Mailing Address - City:SPENCERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46788-9304
Mailing Address - Country:US
Mailing Address - Phone:260-908-1849
Mailing Address - Fax:260-337-0073
Practice Address - Street 1:2821 HILLEGAS RD
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46808-3859
Practice Address - Country:US
Practice Address - Phone:260-471-1950
Practice Address - Fax:260-471-1950
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor