Herzog, Amy

Herzog, Amy is an sole proprietor health care provider with primary practice located at 175 Brome Dr. #7, Victor ID 83455. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Agencies / Day Training, Developmentally Disabled Services. Agencies / Day Training, Developmentally Disabled Services is her primary health care specialty. Herzog, Amy can be contacted via phone (406) 360-1631.

Contact Information

Primary practice address
175 Brome Dr. #7 Victor ID 83455
Phone: (406) 360-1631
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X Wyoming
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1861534133
LBN Legal business name Herzog, Amy
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2007
Last updated Oct 14th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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