MR. Theodore L Hernitche JR., LCSW

NPI #1083724124 in Commack, New York

Provider Information

NPI Number: 1083724124
Entity Type: Individual
Name: MR. Theodore L Hernitche JR., LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Aug 30, 2006
Last Updated: Sep 11, 2017

Practice Location

Address: 368 VETERANS MEMORIAL HWY
City: Commack
State: New York
ZIP Code: 11725-4322
Phone: (631) 863-2499

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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