Doctor Name: | DR. MARK J HERSHMAN |
NPI Number: | 1205982477 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D. |
License Number: | 8937 |
Business Practice Address: | 51 Bedford Rd Suite 5 Katonah, NY - 105362135 |
Business Phone Number: | 9142321730 |
Business Fax Number: | |
Mailing Address: | 51 Bedford Rd, Suite 5 KATONAH |
State: | NY |
Postal Code: | 105362135 |
Phone Number: | 9142321730 |
Fax Number: | |
NPI Enumeration Date: | 01/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 8937 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |