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General NPI Number Information
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NPI Number | 1285409219
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Entity Type | Organization
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Legal Business Name | HIRSCH PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 11/20/2023
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 1518 WALNUT ST STE 900
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City | PHILADELPHIA
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State | PA
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Zip | 19102-3405
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Country | US
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Telephone | 408-214-1489
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Fax |
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Provider Business Mailing Address
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Address Line | 6400 GALLOP RD
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City | HARRISBURG
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State | PA
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Zip | 17111-6878
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Country | US
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Telephone | 408-214-1489
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. KEELY HIRSCH
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Credential | PSYD
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Telephone | 408-214-1489
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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