Provider Demographics
NPI:1720008857
Name:HERSHMAN, ALLEN LEE (PHD,PSYD)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:LEE
Last Name:HERSHMAN
Suffix:
Gender:M
Credentials:PHD,PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 PICKEREL RD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-5043
Mailing Address - Country:US
Mailing Address - Phone:845-783-9156
Mailing Address - Fax:845-783-9156
Practice Address - Street 1:3 COATES DRIVE
Practice Address - Street 2:SUITE 8
Practice Address - City:GOSHEN
Practice Address - State:NY
Practice Address - Zip Code:10924
Practice Address - Country:US
Practice Address - Phone:845-291-0999
Practice Address - Fax:845-294-8921
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010666103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist