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NPI Code Detail

MEDICARE: MARCIE HERZOG LPC

MEDICARE: MARCIE HERZOG LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC-13253AZ
2101YM0800XMental Health CounselorLPC-13253AZ

General Provider Information

NPI Number : 1871440271
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCIE HERZOG LPC
Provider Business Mailing Address
First Line : 1930 E ROSE LN
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-1924
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3450 N 3RD ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2331
Country : US
Telephone Number : 602-301-5856
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2026
Last Update Date : 03/13/2026

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Directions to “ MARCIE HERZOG LPC” Practice Location

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