Provider Demographics
NPI:1346231099
Name:HIRT, DIANE SUSAN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:SUSAN
Last Name:HIRT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 ETON RD
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-7310
Mailing Address - Country:US
Mailing Address - Phone:609-706-3195
Mailing Address - Fax:
Practice Address - Street 1:2 ETON RD
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-7310
Practice Address - Country:US
Practice Address - Phone:609-706-3195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-02
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003376101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional