Tim Scott Herzog
Psychologist, Counseling in Maple Grove, MN. Individual provider (NPI-1).
NPI number1164026282
StatusActive
Last updated in NPPESNov 30, 2020
Details
- NPI
- 1164026282
- Entity type
- Individual (NPI-1)
- Name
- Tim Scott Herzog
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 30, 2020
- Certification date
- Nov 30, 2020
- Last updated
- Nov 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC1900X | Psychologist, Counseling | – | MN | Yes |
Practice location
7835 Main St N Ste 220Maple Grove, MN 55369-7072
Phone 763-400-7475 · Fax 763-400-7473
Mailing address
4544 3rd St NeFridley, MN 55421-2149
Phone 651-334-8321
Other practice locations
5780 Lincoln Dr Ste 250
Edina, MN 55436-1667
Edina, MN 55436-1667
Phone 763-400-7475
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All 9 Counseling Psychologist providers in Maple Grove · All 2,061 providers in Maple Grove
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