Provider Demographics
NPI:1720622657
Name:HERSHMAN, DARLA MARI
Entity Type:Individual
Prefix:
First Name:DARLA
Middle Name:MARI
Last Name:HERSHMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7232 CANBY AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-8141
Mailing Address - Country:US
Mailing Address - Phone:818-705-5561
Mailing Address - Fax:
Practice Address - Street 1:6109 AFTON PL
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90028-8313
Practice Address - Country:US
Practice Address - Phone:323-461-4118
Practice Address - Fax:323-461-4119
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-04
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)