Provider Demographics
NPI:1659645232
Name:HERSH, ALLISON M (PSYD)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:M
Last Name:HERSH
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2303 S TOWNSEND AVE STE A
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-5452
Mailing Address - Country:US
Mailing Address - Phone:970-240-6136
Mailing Address - Fax:970-541-9806
Practice Address - Street 1:295 SHERMAN ST
Practice Address - Street 2:
Practice Address - City:RIDGWAY
Practice Address - State:CO
Practice Address - Zip Code:81432-8706
Practice Address - Country:US
Practice Address - Phone:970-626-5123
Practice Address - Fax:970-249-5029
Is Sole Proprietor?:No
Enumeration Date:2012-02-29
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY.0005636103T00000X
UT9101783-2501103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent