Provider Demographics
NPI:1588997910
Name:HIRSCH, TAMARA LOUISE (LICSW, JD)
Entity type:Individual
Prefix:MS
First Name:TAMARA
Middle Name:LOUISE
Last Name:HIRSCH
Suffix:
Gender:F
Credentials:LICSW, JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8669 E SAN ALBERTO DR
Mailing Address - Street 2:STE 100
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4309
Mailing Address - Country:US
Mailing Address - Phone:480-946-5226
Mailing Address - Fax:480-946-4772
Practice Address - Street 1:8669 E SAN ALBERTO DR
Practice Address - Street 2:STE 100
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4309
Practice Address - Country:US
Practice Address - Phone:480-946-5226
Practice Address - Fax:480-946-4772
Is Sole Proprietor?:No
Enumeration Date:2009-09-17
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-134621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical