Dr Twentyman was referred to me by my psychologist who has never worked with him. The initial visit fee is $ 325 payable when the visit is complete. I cannot attest to how competent he is as a doctor because we spent the initial session on my medical history. At the end of the session I wrote him a check for his fee, which he cashed promptly. He promised to mail to my home address an itemized bill for the session so I could claim insurance reimbursement. He has not sent me that bill despite my 2 emails to him requesting that bill. Nor has he replied to my emails. I Have also called him twice with no responses. Unless I hear from him soon I will not meet with him again. He is non responsive at best. If I get the bill soon I will modify this review. As of April 3 I have not received a bill. I Have terminated my relationship with the MD.