Doctor Name: | MS. ELIZABETH ANNE HERSCH |
NPI Number: | 1053473157 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCS17229 |
Business Practice Address: | 1000 Broadway Ste 210 El Cajon, CA - 920214899 |
Business Phone Number: | 6194015500 |
Business Fax Number: | |
Mailing Address: | 1000 Broadway Ste 210, EL CAJON |
State: | CA |
Postal Code: | 920214899 |
Phone Number: | 6194015500 |
Fax Number: | |
NPI Enumeration Date: | 12/14/2006 |
NPI Last Update Date: | 02/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS17229 |
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 |