Provider Demographics
NPI:1184799322
Name:HIRSCHMAN, DAVID (PHD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
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 1:719 S SHORELINE BLVD
Mailing Address - Street 2:STE 400
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78401
Mailing Address - Country:US
Mailing Address - Phone:361-887-4990
Mailing Address - Fax:361-887-6163
Practice Address - Street 1:719 S SHORELINE BLVD
Practice Address - Street 2:STE 400
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78401
Practice Address - Country:US
Practice Address - Phone:361-887-4990
Practice Address - Fax:361-887-6163
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23405103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00A11LMedicare ID - Type Unspecified