Provider Demographics
NPI:1073739280
Name:LINDA G HIRSCH PA
Entity Type:Organization
Organization Name:LINDA G HIRSCH PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:GERALDINE
Authorized Official - Last Name:HIRSCH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:305-447-2428
Mailing Address - Street 1:721 BILTMORE WAY
Mailing Address - Street 2:STE 202
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-7524
Mailing Address - Country:US
Mailing Address - Phone:305-447-2428
Mailing Address - Fax:305-441-9303
Practice Address - Street 1:401 CORAL WAY
Practice Address - Street 2:SUITE 203
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-4930
Practice Address - Country:US
Practice Address - Phone:305-447-2428
Practice Address - Fax:305-441-9303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY2285103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty