Provider Demographics
NPI:1518948520
Name:HIRSCH, LINDA GERALDINE (PHD)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:GERALDINE
Last Name:HIRSCH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 BILTMORE WAY
Mailing Address - Street 2:APT. 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 MIRACLE MILE
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
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY2285103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL75304Medicare ID - Type Unspecified