Provider Demographics
NPI:1184199895
Name:HIRSCH, DEBORAH (MAED, MSW, LICSW)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:HIRSCH
Suffix:
Gender:F
Credentials:MAED, MSW, LICSW
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:HIRSCH
Other - Last Name:MAYER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:19 GARDEN LN
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03824-3042
Mailing Address - Country:US
Mailing Address - Phone:603-397-7730
Mailing Address - Fax:
Practice Address - Street 1:19 GARDEN LN
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NH
Practice Address - Zip Code:03824-3042
Practice Address - Country:US
Practice Address - Phone:603-397-7730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-09
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1055231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty