Provider Demographics
NPI:1548366982
Name:HERSH, WENDY LYNN (LMHC, CRC)
Entity type:Individual
Prefix:MS
First Name:WENDY
Middle Name:LYNN
Last Name:HERSH
Suffix:
Gender:F
Credentials:LMHC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 MAIN ST
Mailing Address - Street 2:#1024
Mailing Address - City:ROOSEVELT ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10044-0141
Mailing Address - Country:US
Mailing Address - Phone:212-752-1518
Mailing Address - Fax:212-752-1518
Practice Address - Street 1:540 MAIN ST
Practice Address - Street 2:#1024
Practice Address - City:ROOSEVELT ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10044-0141
Practice Address - Country:US
Practice Address - Phone:212-752-1518
Practice Address - Fax:212-752-1518
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001332101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health