Healthcare Provider Details

I. General information

NPI: 1194658534
Provider Name (Legal Business Name): MICHAL HERBSMAN PSYCHOTHERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2711 ALLEN BLVD STE 309
MIDDLETON WI
53562-2287
US

IV. Provider business mailing address

2711 ALLEN BLVD STE 309
MIDDLETON WI
53562-2287
US

V. Phone/Fax

Practice location:
  • Phone: 608-400-6937
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. MICHAL HERBSMAN
Title or Position: LMFT
Credential:
Phone: 608-400-6937