person
Miss Mary Ann Herzog, CPS
Community/Behavioral Health Agency in Wauwatosa, Wisconsin
NPI 1548662232

Mary Ann Herzog is a Community/Behavioral Health Agency based in Wauwatosa, WI. Mary Ann Herzog practices in Wauwatosa, WI and has the professional credentials of CPS. The NPI Number for Mary Ann Herzog is 1548662232 and holds a License No. (Wisconsin).

The current practice location address for Mary Ann Herzog is 10045 W Lisbon Ave, Wauwatosa, WI and can be reached out via phone at 414-358-7146 and via fax at 414-358-7158. You can also correspond with Mary Ann Herzog through the mailing address at 10045 W LISBON AVE, WAUWATOSA, WI - 53222-2446 (mailing address contact number: 414-358-7146).

Location: 10045 W Lisbon Ave, Wauwatosa, WI, 53222-2446
person
Provider Profile Details
NPI Number
1548662232
Provider Name
Mary Ann Herzog
Credential
CPS
Provider Entity Type
Individual
Gender
Female
Address
10045 W Lisbon Ave, Wauwatosa, WI, 53222-2446
Phone Number
414-358-7146
Fax Number
414-358-7158
Provider Enumeration Date
09/24/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
193200000X 05 WI
institution
Provider Business Practice Location Address Details
Address
10045 W Lisbon Ave
City
State
Zip
53222-2446
Phone Number
414-358-7146
Fax Number
414-358-7158
person
Provider Business Mailing Address Details
Address
10045 W Lisbon Ave
City
State
Zip
53222-2446
Phone Number
414-358-7146
Fax Number
414-358-7158
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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