Individual provider · Type 1 NPI

Lee M. Herzog, M.B.A., PSY.D.

Clinical Psychologist · Los Angeles, CA

NPI number 1306087176 Active

Practice location

11911 San Vicente Blvd, Suite 270
Los Angeles, CA 90049-5086

Call (310) 712-2501 Map

Specialties and licenses

TaxonomyCodeLicense
Psychoanalyst 102L00000XPSY 18054 (CA)
Clinical Psychologist Primary 103TC0700XPSY 18054 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1306087176

Lee M. Herzog, M.B.A., PSY.D.'s National Provider Identifier is 1306087176, issued on Mar 9, 2009. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 9, 2009.