Herkov, Michael John

Herkov, Michael John is an individual health care provider with primary practice located at 11512 Lake Mead Ave Suite 301, Jacksonville FL 32256. He recently has 10 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Herkov, Michael John can be contacted via phone (904) 645-0114.

Contact Information

Primary practice address
11512 Lake Mead Ave Suite 301 Jacksonville FL 32256
Phone: (904) 645-0114
Fax: (904) 645-0115
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY4681 Florida
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY4681 Florida
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X PY4681 Florida
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X PY4681 Florida
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PY4681 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY4681 Florida
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PY4681 Florida
Behavioral Health & Social Service Providers / Family 103TF0000X PY4681 Florida
Behavioral Health & Social Service Providers / Forensic 103TF0200X PY4681 Florida
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X PY4681 Florida

Profile Details

NPI number 1346459625
LBN Legal business name Herkov, Michael John
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Jul 8th, 2007 - 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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