Herzog, Jeanne Marie

Herzog, Jeanne Marie is an sole proprietor health care provider with primary practice located at 890 Elm Grove Rd Ste 214 , Elm Grove WI 53122-2528. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Herzog, Jeanne Marie can be contacted via phone (414) 258-8488.

Contact Information

Primary practice address
890 Elm Grove Rd Ste 214 Elm Grove WI 53122-2528
Phone: (414) 258-8488
Fax: (262) 547-1978
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2176-57 Wisconsin
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2176057 Wisconsin

Profile Details

NPI number 1124173133
LBN Legal business name Herzog, Jeanne Marie
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2007
Last updated Mar 15th, 2023 - about 3 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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