Provider Demographics
NPI:1982748372
Name:HIRSCH, ANDREA W (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:W
Last Name:HIRSCH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10430 S DE ANZA BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-3019
Mailing Address - Country:US
Mailing Address - Phone:408-255-7285
Mailing Address - Fax:
Practice Address - Street 1:10430 S DE ANZA BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-3019
Practice Address - Country:US
Practice Address - Phone:408-255-7285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY7667103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical