Lance Hershberger, Lisw, Llc | |
21380 Lorain Rd Ste 102 Fairview Park OH 44126-2144 | |
(412) 219-7113 | |
(440) 435-8894 |
Full Name | Lance Hershberger, Lisw, Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 21380 Lorain Rd Ste 102, Fairview Park, Ohio |
Authorized Official Name and Position | Lance Robert Hershberger (OWNER, THERAPIST) |
Authorized Official Contact | 4122197113 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lance Hershberger, Lisw, Llc 21380 Lorain Rd Ste 102 Fairview Park OH 44126-2144 Ph: (412) 219-7113 | Lance Hershberger, Lisw, Llc 21380 Lorain Rd Ste 102 Fairview Park OH 44126-2144 Ph: (412) 219-7113 |
NPI Number | 1679210603 |
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Provider Enumeration Date | 05/20/2022 |
Last Update Date | 05/20/2022 |
Certification Date | 05/20/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679210603 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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