MEDICARE: MS. LINDSEY HIRSCH M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TS0200X	School Psychologist	21110466	OH

General Provider Information

NPI Number	:	1285176230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDSEY HIRSCH M.S.

Provider Business Mailing Address
First Line	:	6865 GENDER RD
Second Line	:
City	:	CANAL WINCHESTER
State	:	OH
Zip	:	43110-8282
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6865 GENDER RD
Second Line	:
City	:	CANAL WINCHESTER
State	:	OH
Zip	:	43110-8282
Country	:	US
Telephone Number	:	614-920-2756
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2016
Last Update Date	:	11/08/2016

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