Provider Demographics
NPI:1871941229
Name:JON HERSHFIELD, MFT, INC.
Entity type:Organization
Organization Name:JON HERSHFIELD, MFT, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HERSHFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-636-1271
Mailing Address - Street 1:11350 MCCORMICK EP 1 RD STE 408
Mailing Address - Street 2:
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21031-1050
Mailing Address - Country:US
Mailing Address - Phone:410-927-5462
Mailing Address - Fax:
Practice Address - Street 1:11350 MCCORMICK EP 1 RD STE 408
Practice Address - Street 2:
Practice Address - City:HUNT VALLEY
Practice Address - State:MD
Practice Address - Zip Code:21031-1050
Practice Address - Country:US
Practice Address - Phone:410-927-5462
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-26
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC50490106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty