Provider Demographics
NPI:1730068545
Name:HERRERA, KARY LYNN SMITH (PPS)
Entity type:Individual
Prefix:MRS
First Name:KARY
Middle Name:LYNN SMITH
Last Name:HERRERA
Suffix:
Gender:F
Credentials:PPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1752 VINEYARD PL
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-9024
Mailing Address - Country:US
Mailing Address - Phone:559-901-6443
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 368
Practice Address - Street 2:
Practice Address - City:ARMONA
Practice Address - State:CA
Practice Address - Zip Code:93202-0368
Practice Address - Country:US
Practice Address - Phone:559-583-5010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA220252130103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool