Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 159625 | MA |
NPI | 1013176007 |
---|---|
Provider Name | Mrs. Eileen B Hirsch |
First Address | Amherst, MA 01003-9255 |
Second Address | Deerfield, MA 01342 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2008 |
Last Update Date | 28/02/2019 |