Individual
JAMES DAVID HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4500 INTERSTATE 55 NORTH, SUITE 208, JACKSON, MS 39211-5931
(601) 981-5757
(601) 981-5494
Mailing address
4500 INTERSTATE 55 NORTH, SUITE 208, JACKSON, MS 39211-5931
(601) 981-5757
(601) 981-5494
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
26348
MS
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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