Herz, Gordon I
Herz, Gordon I is an sole proprietor health care provider with primary practice located at 478 Commerce Dr Ste 204, Madison WI 53719-4993. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Herz, Gordon I can be contacted via phone (608) 833-7533.Contact Information
Primary practice address
478 Commerce Dr Ste 204
Madison WI 53719-4993
Phone: (608) 833-7533
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 1715 | Wisconsin |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1715 | Wisconsin |
Profile Details
| NPI number | 1053314344 |
|---|---|
| LBN Legal business name | Herz, Gordon I |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2005 |
| Last updated | Apr 23rd, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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