Search › Idaho › 251C00000X
Amy Herzog, LCSW
NPI 1861534133 · on the registry since 2007 · sole proprietor
Practice
- Address
- 175 Brome Dr.
#7
Victor, ID 83455 - Phone
- (406) 360-1631
Registry record
- Primary taxonomy
- 251C00000X
251C00000X
- Also registered as
- 101Y00000X
- Licence states on file
- WY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-10-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho