Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA N HERZOG
ActiveAMANDA N HERZOG is a Developmental Therapist healthcare provider located in CHAMPAIGN, Illinois. NPI 1457526444 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · CHAMPAIGN, IL
Registration Details
- NPI Number
- 1457526444
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 29, 2008 (18.250664942611 yrs)
- Last Updated
- Apr 29, 2008
- License
-
H622-0148-5785 (IL)
Practice Information
- Address
-
1007 WILSHIRE CTCHAMPAIGN, IL, 618216934Browse IL providers · Browse ZIP 61821
- Phone
- 2174932265
- Primary Specialty
-
Developmental Therapist
222Q00000X
Other Developmental Therapist Providers in CHAMPAIGN, IL
| Name | Credential | NPI |
|---|---|---|
| JUDITH ULLOM | — | 1346469228 |
| MARY PETRE | — | 1740409630 |
| MRS. ALEXANDRA SHULENBURGER | — | 1164641023 |
| DEENA LOVE | — | 1326267212 |
| HARRIET KERSH | — | 1124247010 |
| JULIE DENISE GRYGIEL | M.ED. | 1770790529 |
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.