Individual
DR. DAVID HERZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
7522 221ST PL SW, EDMONDS, WA 98026-8029
(626) 864-2343
Mailing address
7522 221ST PL SW, EDMONDS, WA 98026-8029
(626) 864-2343
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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