Provider Demographics
NPI:1649390121
Name:HIRSCHMAN, PETER S (LPC)
Entity Type:Individual
Prefix:MR
First Name:PETER
Middle Name:S
Last Name:HIRSCHMAN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 MOUNTAIN LAUREL PATH
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-3604
Mailing Address - Country:US
Mailing Address - Phone:413-250-9481
Mailing Address - Fax:
Practice Address - Street 1:15 MOUNTAIN LAUREL PATH
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-3604
Practice Address - Country:US
Practice Address - Phone:413-250-9481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
MA3577101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health