Organization
SUMMIT PSYCHOLOGY CLINIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANNE MARIE HERZOG PHD (CLINICAL DIRECTOR PSYCHOLOGIST)
(414) 258-8488
Entity
Organization
Contact information
Practice address
933 N MAYFAIR RD, STE 303, WAUWATOSA, WI 53226
(414) 258-8488
(414) 258-8838
Mailing address
933 N MAYFAIR RD, STE 303, WAUWATOSA, WI 53226
(414) 258-8488
(414) 258-8838
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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