Individual
SUSAN MIRIAM HERZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10515 LOUISIANA AVE, LOS ANGELES, CA 90025-5917
(310) 652-7554
Mailing address
10515 LOUISIANA AVE, LOS ANGELES, CA 90025-5917
(310) 652-7554
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY10918
CA
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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