Individual
DR. DAVID HERZOG
Active
Individual
DR. DAVID HERZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
1336
HI
103TA0700X
Adult Development & Aging Psychologist
1336
HI
103TC0700X
Clinical Psychologist
Primary
1336
HI
103TC2200X
Clinical Child & Adolescent Psychologist
1336
HI
103TE1100X
Exercise & Sports Psychologist
1336
HI
103TF0000X
Family Psychologist
—
—
103TH0004X
Health Psychologist
1336
HI
103TP2701X
Group Psychotherapy Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
1336
HI
Other
Enumeration date
11/26/2013
Last updated
02/01/2017
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