| Doctor Name: | MS. JORDAN HIRSCHHAUT |
| NPI Number: | 1588088496 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.ED., ED.S. |
| License Number: | OH3083830 |
| Business Practice Address: | 11333 Youngstown Pittsburgh Rd New Middletown, OH - 444428724 |
| Business Phone Number: | 3305422929 |
| Business Fax Number: | 3305422159 |
| Mailing Address: | 11333 Youngstown Pittsburgh Rd, NEW MIDDLETOWN |
| State: | OH |
| Postal Code: | 444428724 |
| Phone Number: | 3305422929 |
| Fax Number: | 3305422159 |
| NPI Enumeration Date: | 02/12/2014 |
| NPI Last Update Date: | 02/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | OH3083830 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |