| Doctor Name: | DR. BROOKE HERSH |
| NPI Number: | 1023203023 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 36147 |
| Business Practice Address: | 7700 Cat Hollow Dr Suite 206 Round Rock, TX - 786815796 |
| Business Phone Number: | 5128078457 |
| Business Fax Number: | 5125012259 |
| Mailing Address: | 8202 Cornerwood Dr., AUSTIN |
| State: | TX |
| Postal Code: | 78717 |
| Phone Number: | 5125508305 |
| Fax Number: | |
| NPI Enumeration Date: | 09/12/2007 |
| NPI Last Update Date: | 06/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TF0000X |
| License Number: | 36147 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |