| Catherine L. Herzog, Ph.d., Pllc | |
|
1370 N Oakland Blvd Suite 100a Waterford MI 48327-4525 | |
| (248) 701-1093 | |
| (248) 886-1372 |
| Full Name | Catherine L. Herzog, Ph.d., Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1370 N Oakland Blvd, Waterford, Michigan |
| Authorized Official Name and Position | Catherine Lydia Herzog (OWNER/CEO) |
| Authorized Official Contact | 2487011093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catherine L. Herzog, Ph.d., Pllc 1370 N Oakland Blvd Suite 100a Waterford MI 48327-4525 Ph: (248) 701-1093 | Catherine L. Herzog, Ph.d., Pllc 1370 N Oakland Blvd Suite 100a Waterford MI 48327-4525 Ph: (248) 701-1093 |
| NPI Number | 1225394836 |
|---|---|
| Provider Enumeration Date | 04/09/2012 |
| Last Update Date | 04/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225394836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 6301008327 (Michigan) | Primary |
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