Doctor Name: | LYNDA HERBERTSON |
NPI Number: | 1174867311 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | CW017305 |
Business Practice Address: | 6045 Oak Park Dr Bethel Park, PA - 151022347 |
Business Phone Number: | 4128540672 |
Business Fax Number: | |
Mailing Address: | 6045 Oak Park Dr, BETHEL PARK |
State: | PA |
Postal Code: | 151022347 |
Phone Number: | 4128540672 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2012 |
NPI Last Update Date: | 11/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW017305 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |