Individual
ALYSSA HERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
63 W LANCASTER AVE STE 5, ARDMORE, PA 19003-1413
(610) 645-5311
Mailing address
63 W LANCASTER AVE STE 5, ARDMORE, PA 19003-1413
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/28/2023
Last updated
03/13/2023
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