Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jeanne Marie Herzog, PHD

Individual provider Clinical Psychologist · NPI 1124173133

Dr. Jeanne Marie Herzog, PHD is a Clinical Psychologist in Elm Grove, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2007
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

890 Elm Grove Rd Ste 214
Elm Grove, WI 53122-2528
Phone: (414) 258-8488
Fax: (262) 547-1978
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 2176057 (WI)
Clinical Psychologist Taxonomy 103TC0700X · Licence 2176-57 (WI)

Record details

NPI number1124173133
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJanuary 23, 2007
Last updated in NPPESMarch 15, 2023
Certification dateMarch 15, 2023

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