Individual
THOMAS HERSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
83 RADWAY HILL RD., NEWFANE, VT 05345
(802) 365-9245
(802) 365-9333
Mailing address
PO BOX 370, NEWFANE, VT 05345-0370
(802) 365-9245
(802) 365-9333
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
VT642
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
288908
MAGELLAN
VT
01
—
29886
BLUE CROSS BLUE SHIELD
VT
05
—
OVN1668
—
VT
01
—
W06267
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/26/2006
Last updated
07/08/2007
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