| Doctor Name: | DR. PHILIP ALAN HIRSCH |
| NPI Number: | 1063507895 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | PY00001117 |
| Business Practice Address: | 2237 Ne 169th St Shoreline, WA - 981556139 |
| Business Phone Number: | 4253496320 |
| Business Fax Number: | 4253496325 |
| Mailing Address: | 2237 Ne 169th St, SHORELINE |
| State: | WA |
| Postal Code: | 981556139 |
| Phone Number: | 4253496320 |
| Fax Number: | 4253496325 |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | PY00001117 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |