Individual
MRS. ANGELA O'BRIANT HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
FORTY-FIVE HUNDRED INTERSTATE FIFTY-FIVE NORTH, SUITE 208, JACKSON, MS 39211
(601) 981-5757
(601) 981-5494
Mailing address
FORTY-FIVE HUNDRED INTERSTATE FIFTY-FIVE NORTH, SUITE 208, JACKSON, MS 39211
(601) 981-5757
(601) 981-5494
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
25-348
MS
Other
Enumeration date
04/27/2007
Last updated
07/08/2007
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