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NPI Code Detail

MEDICARE: DR. AMANDA HIRSCH PHD

MEDICARE:  DR. AMANDA  HIRSCH  PHD
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
1103TC0700XClinical Psychologist071.022689IL
2103TC2200XClinical Child & Adolescent Psychologist38596TX
3103TC0700XClinical Psychologist38596TX
4103T00000XPsychologist38596TX
5103TS0200XSchool Psychologist70943TX
6103T00000XPsychologist071.022689IL

General Provider Information

NPI Number : 1164151106
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMANDA HIRSCH PHD
Provider Business Mailing Address
First Line : 12726 BEATRICE TERRACE DR
Second Line :
City : HUMBLE
State : TX
Zip : 77346-4909
Country : US
Telephone Number : 517-303-4192
Fax Number :
Provider Business Practice Location Address
First Line : 325 N SAINT PAUL ST STE 3100
Second Line :
City : DALLAS
State : TX
Zip : 75201-3923
Country : US
Telephone Number : 469-904-0159
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2022
Last Update Date : 06/10/2026

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Directions to “ DR. AMANDA HIRSCH PHD” Practice Location

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