Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMY HERZOG, LCSW
Active Sole ProprietorBehavioral Health, Residential · VICTOR, ID
Registration Details
- NPI Number
- 1861534133
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 13, 2007 (19.2256582509 yrs)
- Last Updated
- Oct 14, 2009
- Sole Proprietor
- Yes
Practice Information
- Address
-
175 BROME DR.#7VICTOR, ID, 83455Browse ID providers · Browse ZIP 83455
- Phone
- 4063601631
- Primary Specialty
-
Behavioral Health, Residential
251C00000X
- Additional Specialty
- Behavioral Health, Residential
Other Behavioral Health, Residential Providers in VICTOR, ID
| Name | Credential | NPI |
|---|---|---|
| ANDREA LOBAN | — | 1902205230 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.