Doctor Name: | DR. STEPHEN IRA HYMAN |
NPI Number: | 1013063395 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 3852 |
Business Practice Address: | 68 Shadetree Ln Roslyn Heights, NY - 115772503 |
Business Phone Number: | 5164840909 |
Business Fax Number: | 5166213071 |
Mailing Address: | 68 Shadetree Ln, ROSLYN HEIGHTS |
State: | NY |
Postal Code: | 115772503 |
Phone Number: | 5164840909 |
Fax Number: | 5166213071 |
NPI Enumeration Date: | 01/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 3852 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |