Individual
MR. MERTON JOSEPH HERSHBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSS
Contact information
Practice address
555 TOWNER ST, YPSILANTI, MI 48198-5723
(734) 544-3050
(734) 544-6732
Mailing address
555 TOWNER ST, YPSILANTI, MI 48198-5723
(734) 544-3050
(734) 544-6732
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
680107049
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680107049
MICHIGAN SOCIAL WORK LICENSE
MI
Enumeration date
10/15/2018
Last updated
10/15/2018
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