Hirsch, Jeffrey Alan

Hirsch, Jeffrey Alan is an sole proprietor health care provider with primary practice located at 752 Flower , Venice CA 90291-2727. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hirsch, Jeffrey Alan can be contacted via phone (310) 392-9941.

Contact Information

Primary practice address
752 Flower Venice CA 90291-2727
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY681 New York

Profile Details

NPI number 1235189648
LBN Legal business name Hirsch, Jeffrey Alan
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2006
Last updated Dec 31st, 2009 - about 15 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 1235189648 NPPES
California MEDICAID PSY682100

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