Provider Demographics
NPI:1396993093
Name:DELEA HERBER PHD
Entity type:Organization
Organization Name:DELEA HERBER PHD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:DELEA
Authorized Official - Last Name:HERBER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:817-798-4324
Mailing Address - Street 1:7132 STEWART LN
Mailing Address - Street 2:
Mailing Address - City:BENBROOK
Mailing Address - State:TX
Mailing Address - Zip Code:76126-4611
Mailing Address - Country:US
Mailing Address - Phone:817-798-4324
Mailing Address - Fax:
Practice Address - Street 1:7132 STEWART LN
Practice Address - Street 2:
Practice Address - City:BENBROOK
Practice Address - State:TX
Practice Address - Zip Code:76126-4611
Practice Address - Country:US
Practice Address - Phone:817-798-4324
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-05
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32212103TB0200X, 103TC2200X, 103TA0700X, 103T00000X
TX33212103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Single Specialty
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & AgingGroup - Single Specialty