Provider Demographics
NPI:1700267051
Name:HERLACHE, EMMA (MS)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:HERLACHE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:EMMA
Other - Middle Name:
Other - Last Name:SABEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:2500 E CAPITOL DR
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54911-8735
Mailing Address - Country:US
Mailing Address - Phone:920-364-3681
Mailing Address - Fax:920-364-3902
Practice Address - Street 1:2500 E CAPITOL DR
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54911-8735
Practice Address - Country:US
Practice Address - Phone:920-364-3681
Practice Address - Fax:920-364-3902
Is Sole Proprietor?:No
Enumeration Date:2015-06-12
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS