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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 7 months 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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