Doctor Name: | MR. HAROLD REUBIN HEARSHMAN |
NPI Number: | 1134367519 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSYD |
License Number: | PSY15211 |
Business Practice Address: | 2737 W. Cecil Ave. Delano, CA - 93315 |
Business Phone Number: | 6617212345 |
Business Fax Number: | 6617216262 |
Mailing Address: | 2737 W. Cecil Ave., DELANO |
State: | CA |
Postal Code: | 93315 |
Phone Number: | 6617212345 |
Fax Number: | 6617216262 |
NPI Enumeration Date: | 01/23/2009 |
NPI Last Update Date: | 01/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TF0200X |
License Number: | PSY15211 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Forensic |
Taxonomy Definition: |