Herzog, James David

Herzog, James David is an individual health care provider with primary practice located at 4500 Interstate 55 North Suite 208, Jackson MS 39211-5931. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Herzog, James David can be contacted via phone (601) 981-5757.

Contact Information

Primary practice address
4500 Interstate 55 North Suite 208 Jackson MS 39211-5931
Phone: (601) 981-5757
Fax: (601) 981-5494
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 26348 Mississippi

Profile Details

NPI number 1134135783
LBN Legal business name Herzog, James David
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jul 8th, 2007 - about 19 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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