DR. Jeanne Marie Herzog, PHD

NPI #1124173133 in Elm Grove, Wisconsin

Provider Information

NPI Number: 1124173133
Entity Type: Individual
Name: DR. Jeanne Marie Herzog, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: Jan 23, 2007
Last Updated: Mar 15, 2023

Practice Location

Address: 890 ELM GROVE RD STE 214
City: Elm Grove
State: Wisconsin
ZIP Code: 53122-2528
Phone: (414) 258-8488

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X
Psychologist	103T00000X	Primary

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