Individual
DR. JEANNE MARIE HERZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
890 ELM GROVE RD STE 214, ELM GROVE, WI 53122-2528
(414) 258-8488
(262) 547-1978
Mailing address
2912 DEVONSHIRE CT, WAUKESHA, WI 53188-1368
(414) 258-8488
(262) 547-1978
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2176057
WI
103TC0700X
Clinical Psychologist
2176-57
WI
Other
Enumeration date
01/23/2007
Last updated
03/15/2023
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