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NPI Code Detail

MEDICARE: MR. DANIEL ETHAN HERTZBERG M.S.ED.

MEDICARE: MR. DANIEL ETHAN HERTZBERG M.S.ED.
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1750934634
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DANIEL ETHAN HERTZBERG M.S.ED.
Provider Business Mailing Address
First Line : 60 TERENCE DR STE 302
Second Line :
City : PITTSBURGH
State : PA
Zip : 15236-4148
Country : US
Telephone Number : 412-945-0692
Fax Number :
Provider Business Practice Location Address
First Line : 60 TERENCE DR STE 302
Second Line :
City : PITTSBURGH
State : PA
Zip : 15236-4148
Country : US
Telephone Number : 412-945-0692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2019
Last Update Date : 08/25/2023

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