Individual
MS. MARY A HERSHBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10500 N PORT WASHINGTON RD, MEQUON, WI 53092-5585
(262) 240-0427
(262) 240-0429
Mailing address
10500 N PORT WASHINGTON RD, MEQUON, WI 53092-5585
(262) 240-0427
(262) 240-0429
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2055-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39225300
—
WI
Enumeration date
12/29/2006
Last updated
04/06/2010
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