AMANDA HERZOG
Developmental Therapist
Active
Individual
NPI: 1457526444
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes | H622-0148-5785 (IL) |
Frequently Asked Questions
NPI 1457526444 is the National Provider Identifier for AMANDA HERZOG, a Developmental Therapist provider located in Champaign, IL. This NPI was enumerated on April 29, 2008.
AMANDA HERZOG practices at 1007 WILSHIRE CT, Champaign, IL 61821.
Quick Facts
- NPI
- 1457526444
- Type
- Individual
- Enumerated
- Apr 29, 2008
- Last Updated
- Apr 29, 2008
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