Individual
MR. BRUCE HERSEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
217 UNION AVE, FL 2, ALTOONA, PA 16602-3247
(814) 944-3852
(814) 943-2022
Mailing address
217 UNION AVE, FL 2, ALTOONA, PA 16602-3247
(814) 944-3852
(814) 943-2022
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW000343L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000571887
HIGHMARK/ BLUE SHIELD
PA
01
—
109661
VALUEOPTIONS
—
Enumeration date
04/27/2006
Last updated
11/22/2018
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