Provider Information for 1952924078
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CHANA RIVKA HERSH LPC
Sex: Female
NPI: 1952924078
Last Updated: 2020-05-22
Certification Date: 2020-05-22
Certification Date: 2020-05-22
Details
Name | Value | ||||||||
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NPI | 1952924078 | ||||||||
Enumeration Date | 2020-05-22 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 3762 BAINBRIDGE RD CLEVELAND, OH 44118-2244 United States Phone: 512-296-3799 | Fax: | ||||||||
Primary Practice Address | 3762 BAINBRIDGE RD CLEVELAND, OH 44118-2244 United States Phone: 512-296-3799 | Fax: | ||||||||
Secondary Practice Address(es) | 3762 BAINBRIDGE RD | ||||||||
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