Individual
BROOKE HIRSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 E SOUTH BLVD, PETERSBURG, VA 23805-2700
(804) 720-9304
Mailing address
255 E SOUTH BLVD, PETERSBURG, VA 23805-2700
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0803000308
VA
103TS0200X
School Psychologist
0813000760
VA
Other
Enumeration date
09/01/2021
Last updated
05/08/2025
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