DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JEANNE MARIE HERZOG, PHD

Active Sole Proprietor

DR. JEANNE MARIE HERZOG, PHD is a Psychologist healthcare provider located in ELM GROVE, Wisconsin. NPI 1124173133 is currently active in the NPPES registry. Verify at CMS.

Psychologist · ELM GROVE, WI

Registration Details

NPI Number
1124173133
Provider Type
Individual
Gender
Female
NPI Issued
Jan 23, 2007 (19.37241913566 yrs)
Last Updated
Mar 15, 2023
Licenses
2176-57 (WI)
2176057 (WI)
Sole Proprietor
Yes

Practice Information

Address
890 ELM GROVE RD STE 214
ELM GROVE, WI, 531222528
Browse WI providers · Browse ZIP 53122
Phone
4142588488
Fax
2625471978
Primary Specialty
Psychologist
103T00000X
Additional Specialty
Psychologist

Other Psychologist Providers in ELM GROVE, WI

Name Credential NPI
MARIBETH SADIE PHD 1932259942
ANNA SYLVIA WEBER PSYD 1861161861
DR. NATASHA BASU PHD 1770457822
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.