MEDICARE: DR. ABIGAIL HIRSCH PH.D.

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	103TC0700X	Clinical Psychologist	PSY.0003863	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PSY.0003863	OTHER	CO	STATE LICENSCE

General Provider Information

NPI Number	:	1760760607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABIGAIL HIRSCH PH.D.

Provider Business Mailing Address
First Line	:	170 S DEXTER ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80246-1053
Country	:	US
Telephone Number	:	303-332-3442
Fax Number	:

Provider Business Practice Location Address
First Line	:	3513 BRIGHTON BLVD STE 427
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80216-3805
Country	:	US
Telephone Number	:	970-610-0646
Fax Number	:

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

Provider Enumeration Date	:	07/26/2011
Last Update Date	:	04/02/2023

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