Provider Demographics
NPI:1588684237
Name:HIRSCHMAN, ROBERT S (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:S
Last Name:HIRSCHMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9467 N FAIRWAY DR
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:WI
Mailing Address - Zip Code:53217-1322
Mailing Address - Country:US
Mailing Address - Phone:414-341-9542
Mailing Address - Fax:
Practice Address - Street 1:207 N MILWAUKEE ST
Practice Address - Street 2:# B
Practice Address - City:WATERFORD
Practice Address - State:WI
Practice Address - Zip Code:53185-4300
Practice Address - Country:US
Practice Address - Phone:262-534-7777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1211-057103G00000X, 103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical