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General NPI Number Information
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NPI Number | 1821874645
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Entity Type | Individual
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Provider Name | CECILY ANNE HERBY PSYD
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Gender | Female
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Dates
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Enumeration Date | 09/06/2023
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 1095 MIDWAY RD
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City | MENASHA
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State | WI
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Zip | 54952-1115
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Country | US
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Telephone | 920-720-2300
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Fax | 920-720-3719
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Provider Business Mailing Address
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Address Line | 3 NEENAH CTR
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City | NEENAH
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State | WI
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Zip | 54956-3070
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Country | US
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Telephone | 920-830-5900
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Fax | 920-830-5910
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 5453
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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