Provider Demographics
NPI:1215102363
Name:HERSHMAN SEGALL, SANDRA (MA LPC)
Entity type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:
Last Name:HERSHMAN SEGALL
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1748 HILLWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-2606
Mailing Address - Country:US
Mailing Address - Phone:334-277-1366
Mailing Address - Fax:334-834-3172
Practice Address - Street 1:1748 HILLWOOD DR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-2606
Practice Address - Country:US
Practice Address - Phone:334-277-1366
Practice Address - Fax:334-834-3172
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL242101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional