Herzog, Lee M.

Herzog, Lee M. is an sole proprietor health care provider with primary practice located at 11911 San Vicente Blvd Suite 270, Los Angeles CA 90049-5086. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychoanalyst, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Herzog, Lee M. can be contacted via phone (310) 712-2501.

Contact Information

Primary practice address
11911 San Vicente Blvd Suite 270 Los Angeles CA 90049-5086
Phone: (310) 712-2501
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X PSY 18054 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 18054 California

Profile Details

NPI number 1306087176
LBN Legal business name Herzog, Lee M.
Credentials M.B.A., PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2009
Last updated Mar 9th, 2009 - about 15 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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