Herzog, Cynthia N

Herzog, Cynthia N is an sole proprietor health care provider with primary practice located at 101 Timberlachen Cir Suite 201, Lake Mary FL 32746-6124. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Herzog, Cynthia N can be contacted via phone (407) 324-9440.

Contact Information

Primary practice address
101 Timberlachen Cir Suite 201 Lake Mary FL 32746-6124
Phone: (407) 324-9440
Fax: (407) 330-5244
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW002024 Florida

Profile Details

NPI number 1336128834
LBN Legal business name Herzog, Cynthia N
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2006
Last updated Mar 31st, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336128834 NPPES
Florida Other Z4208 BCBS
Florida Other 1366501512 BCBS

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