Laurie E Herzog Phd Pc

LBN: Laurie E Herzog Phd Pc
Laurie E Herzog Phd Pc is an health care organization with primary practice located at 155 Main St , Northampton MA 01060-3259. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Laurie E Herzog Phd Pc can be contacted via phone (413) 586-7774, or through Herzog, Laurie E. via phone (413) 586-7774.

Contact Information

Primary practice address
155 Main St Northampton MA 01060-3259
Phone: (413) 586-7774
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Herzog, Laurie E. PH.D.
Phone: (413) 586-7774

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1015410 Massachusetts

Profile Details

NPI number 1407277007
LBN Legal business name Laurie E Herzog Phd Pc
DBA Doing business as
Authorized official Herzog, Laurie E. PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2013
Last updated Aug 25th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407277007 NPPES
Massachusetts Other P04562 MEDICARE PTAN
Massachusetts Other 1548317274 MEDICARE PTAN

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