Herzog, Timothy P
Herzog, Timothy P is an individual health care provider with primary practice located at 2018 Stadium Dr Suite B, Bozeman MT 59715-0706. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is his primary health care specialty. Herzog, Timothy P can be contacted via phone (406) 587-3404.Contact Information
Primary practice address
2018 Stadium Dr Suite B
Bozeman MT 59715-0706
Phone: (406) 587-3404
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 1334 | Montana |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 0810006445 | Virginia |
Profile Details
| NPI number | 1720238538 |
|---|---|
| LBN Legal business name | Herzog, Timothy P |
| Credentials | EDD, LCPC, CMPC, BCB |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2008 |
| Last updated | Feb 7th, 2024 - about 2 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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