Individual
DR. MARIANNE HERZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3138 BUTLER PIKE, SUITE 200, PLYMOUTH MEETING, PA 19462-1946
(610) 825-5774
Mailing address
505 DOGWOOD LN, CONSHOHOCKEN, PA 19428-2412
(610) 825-7202
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS005517L
PA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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