| Doctor Name: | MRS. TERESA ANN HERSCHMAN |
| NPI Number: | 1013168152 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | LCS17265 |
| Business Practice Address: | 23421 S Pointe Dr 103 Laguna Hills, CA - 926531553 |
| Business Phone Number: | 9495512222 |
| Business Fax Number: | 9493691317 |
| Mailing Address: | 107 Avenida Patero De Oro, SAN CLEMENTE |
| State: | CA |
| Postal Code: | 926723149 |
| Phone Number: | 9495512222 |
| Fax Number: | 9493691317 |
| NPI Enumeration Date: | 10/07/2008 |
| NPI Last Update Date: | 10/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCS17265 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |