MEDICARE: HENRY HIRSCH JR. LPC

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	101YM0800X	Mental Health Counselor	PC10084	PA

General Provider Information

NPI Number	:	1689211377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HENRY HIRSCH JR. LPC

Provider Business Mailing Address
First Line	:	62 COLLINS CIR
Second Line	:
City	:	HANOVER
State	:	PA
Zip	:	17331-3448
Country	:	US
Telephone Number	:	443-244-2454
Fax Number	:

Provider Business Practice Location Address
First Line	:	62 COLLINS CIR
Second Line	:
City	:	HANOVER
State	:	PA
Zip	:	17331-3448
Country	:	US
Telephone Number	:	443-244-2454
Fax Number	:

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

Provider Enumeration Date	:	12/02/2019
Last Update Date	:	12/02/2019

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