| Doctor Name: | DR. CORI HERZIG |
| NPI Number: | 1134263643 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | PSY18508 |
| Business Practice Address: | 120 Pleasant Hill Ave N Ste 340 Sebastopol, CA - 954723168 |
| Business Phone Number: | 7078233806 |
| Business Fax Number: | |
| Mailing Address: | 120 Pleasant Hill Ave N Ste 340, SEBASTOPOL |
| State: | CA |
| Postal Code: | 954723168 |
| Phone Number: | 7078233806 |
| Fax Number: | |
| NPI Enumeration Date: | 02/16/2007 |
| NPI Last Update Date: | 08/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY18508 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |