Doctor Name: | PAMELA J. HIRN |
NPI Number: | 1275590226 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LCSW, LPC, CSAC |
License Number: | 1749-125 |
Business Practice Address: | 421 Nebraska St Sturgeon Bay, WI - 542352225 |
Business Phone Number: | 9207467155 |
Business Fax Number: | 9207462439 |
Mailing Address: | 421 Nebraska St, STURGEON BAY |
State: | WI |
Postal Code: | 542352225 |
Phone Number: | 9207467155 |
Fax Number: | 9207462439 |
NPI Enumeration Date: | 04/26/2006 |
NPI Last Update Date: | 05/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1749-125 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |