James David Herzog, PHD
NPI #1134135783 in Jackson, Mississippi
Provider Information
- NPI Number
- 1134135783
- Entity Type
- Individual
- Name
- James David Herzog, PHD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist
- Credential
- PHD
- Enumeration Date
- Aug 1, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4500 INTERSTATE 55 NORTH
- Address 2
- SUITE 208
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39211-5931
- Phone
- (601) 981-5757
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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