Raymond Paul Herzog MA, LLP

NPI 1669400107 - Psychologist - 103T00000X

NPI Details
NPI 1669400107
Gender Male
Enumeration Date 06/30/2006
Last Updated 01/30/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
1013 PARCHMENT DR SE
GRAND RAPIDS MI, 49546-3664, US
Phone (616) 974-0901
Fax (616) 974-0923
Business Location
1013 PARCHMENT DR SE
GRAND RAPIDS MI, 49546-3664, US
Phone (616) 974-0901
Fax (616) 974-0923
Toxanomy
Taxonomy Code 103T00000X
License State Michigan
License Number 6301011394
Remove 1669400107 NPI Number
 

According to our database, Raymond Paul Herzog MA, LLP NPI is 1669400107, taxonomy code is 103T00000X and license number is 6301011394, license state is located at Michigan. Raymond Paul Herzog MA, LLP physically located at 1013 Parchment Dr Se, Grand Rapids MI, 49546-3664. NPI Number Raymond Paul Herzog MA, LLP has the Individual type.

Sponsored links

1669400107 NPI number is provided on an as is basis without warranty of any kind. 1669400107 is maintained by the National Plan & Provider Enumeration System. The contents of Raymond Paul Herzog MA, LLP are for informational purposes only.