Timothy P Herzog, EDD, LCPC, CMPC, BCB is a
Psychologist - Counseling based in Bozeman, Montana. Timothy P Herzog is licensed to practice in Virginia (license number 0810006445) and his current practice location is
2018 Stadium Dr, Suite B, Bozeman, Montana. He can be reached at his office (for appointments etc.) via phone at
(406) 587-3404.
NPI number for Timothy P Herzog is 1720238538 and his current mailing address is 2152 Renard Ct, Annapolis, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720238538.
Healthcare Provider's Profile
| Full Name | Timothy P Herzog |
|---|
| Gender | Male |
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| Speciality | Psychologist - Counseling |
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| Location | 2018 Stadium Dr, Bozeman, Montana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720238538
- Provider Enumeration Date: 09/29/2008
- Last Update Date: 02/07/2024
Medical Identifiers
Medical identifiers for Timothy P Herzog such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720238538 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 1334 (Montana) | Secondary |
| 103TC1900X | Psychologist - Counseling | 0810006445 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Timothy P Herzog is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Timothy P Herzog, EDD, LCPC, CMPC, BCB
2152 Renard Ct,
Annapolis, MD 21401-6756
Ph: (410) 980-2014 | Timothy P Herzog, EDD, LCPC, CMPC, BCB
2018 Stadium Dr, Suite B,
Bozeman, MT 59715-0706
Ph: (406) 587-3404 |
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