Individual
MS. CYNTHIA N HERZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
101 TIMBERLACHEN CIR, SUITE 201, LAKE MARY, FL 32746-6124
(407) 324-9440
(407) 330-5244
Mailing address
101 TIMBERLACHEN CIR, SUITE 201, LAKE MARY, FL 32746-6124
(407) 324-9440
(407) 330-5244
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW002024
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366501512
NPI CORP
FL
01
—
Z4208
BCBS
FL
Enumeration date
01/12/2006
Last updated
03/31/2021
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