| Forward Psychology Group, Llc | |
|
478 Commerce Dr Madison WI 53719-4993 | |
| (608) 833-7533 | |
| Not Available |
| Full Name | Forward Psychology Group, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 478 Commerce Dr, Madison, Wisconsin |
| Authorized Official Name and Position | Gordon I Herz (MANAGER) |
| Authorized Official Contact | 6088337533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forward Psychology Group, Llc 478 Commerce Dr Madison WI 53719-4993 Ph: (608) 833-7533 | Forward Psychology Group, Llc 478 Commerce Dr Madison WI 53719-4993 Ph: (608) 833-7533 |
| NPI Number | 1336362946 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336362946 | NPI | - | NPPES |
| $$$$$$$$$ | Other | SSN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1715 (Wisconsin) | Primary |
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