Individual provider · Type 1 NPI

Mary L. Devincentis Herzog, LMHC

Mental Health Counselor · New York, NY

NPI number 1174682579 Active

Practice location

373 Bleecker St, 1A
New York, NY 10014-3212

Call (718) 788-0908 Map

Mailing address

166 Prospect Park W, #4L
Brooklyn, NY 11215-5277

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X002557 (NY)

Mental Health Counselor: Definition to come...

4 other providers at this address

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About NPI 1174682579

Mary L. Devincentis Herzog, LMHC's National Provider Identifier is 1174682579, issued on Dec 8, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2007.