Doctor Name: | JOHN L HERSCHER |
NPI Number: | 1831112077 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LICSW |
License Number: | 089-0001102 |
Business Practice Address: | 18 Old Terrace The Windham Center Bellows Falls, VT - 05101 |
Business Phone Number: | 8024631292 |
Business Fax Number: | |
Mailing Address: | 252 River St, C/o Network Management Services SPRINGFIELD |
State: | VT |
Postal Code: | 051562306 |
Phone Number: | 8028855785 |
Fax Number: | 8028852030 |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 089-0001102 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |