| 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 |
|---|---|
| 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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