Hersing, Walt

Hersing, Walt is an individual health care provider with primary practice located at 2123 Franklin Dr Ne , Palm Bay FL 32905-4022. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hersing, Walt can be contacted via phone (321) 724-1614.

Contact Information

Primary practice address
2123 Franklin Dr Ne Palm Bay FL 32905-4022
Phone: (321) 724-1614
Fax: (321) 722-3590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW0003317 Florida

Profile Details

NPI number 1770512808
LBN Legal business name Hersing, Walt
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770512808 NPPES
Florida Other Z6179Z BLUE CROSS BLUE SHIELD

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