Provider Demographics
NPI:1497596308
Name:HERR, FUCCI ZACHARY
Entity type:Individual
Prefix:
First Name:FUCCI
Middle Name:ZACHARY
Last Name:HERR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:YERINGTON
Mailing Address - State:NV
Mailing Address - Zip Code:89447-4217
Mailing Address - Country:US
Mailing Address - Phone:775-463-6597
Mailing Address - Fax:
Practice Address - Street 1:720 S MAIN ST
Practice Address - Street 2:
Practice Address - City:YERINGTON
Practice Address - State:NV
Practice Address - Zip Code:89447-4217
Practice Address - Country:US
Practice Address - Phone:775-301-8615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst