Individual
GARY EDWARD HERTOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
426 WEST AVE, RED WING, MN 55066-2473
(651) 385-6180
(651) 385-6195
Mailing address
426 WEST AVE, RED WING, MN 55066-2473
(651) 385-6180
(651) 385-6195
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3783
MN
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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