Doctor Name: | MS. JENNY HERSHBERGER |
NPI Number: | 1033495072 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 62 Derby St Suite 14 Hingham, MA - 020433728 |
Business Phone Number: | 7813744100 |
Business Fax Number: | 7817490809 |
Mailing Address: | 62 Derby St, Suite 14 HINGHAM |
State: | MA |
Postal Code: | 020433728 |
Phone Number: | 7813744100 |
Fax Number: | 7817490809 |
NPI Enumeration Date: | 10/21/2011 |
NPI Last Update Date: | 10/21/2011 |
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: |