Individual
TIM SCOTT HERZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7835 MAIN ST N STE 220, MAPLE GROVE, MN 55369-7072
(763) 400-7475
(763) 400-7473
Mailing address
4544 3RD ST NE, FRIDLEY, MN 55421-2149
(651) 334-8321
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
MN
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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