Doctor Name: | MARK HIRSCH |
NPI Number: | 1013058049 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA |
License Number: | |
Business Practice Address: | 30 Taunton Grn Ste 5 Taunton, MA - 027803243 |
Business Phone Number: | 5088806666 |
Business Fax Number: | |
Mailing Address: | 35 Penelope Ln, COTUIT |
State: | MA |
Postal Code: | 026352608 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |