Amanda N Herzog
Amanda N Herzog is a Developmental Therapist in Champaign, Illinois. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
Practice location Address checks out
1007 Wilshire CtChampaign, IL 61821-6934
Phone: (217) 493-2265
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Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X · Licence H622-0148-5785 (IL) |
|---|
Record details
| NPI number | 1457526444 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 29, 2008 |
| Last updated in NPPES | April 29, 2008 |
| Mailing address | 1007 Wilshire Ct, Champaign, IL 61821-6934 |
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