Doctor Name: | DR. DOUGLAS STEPHEN HYMAN |
NPI Number: | 1124023908 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | PSY5506 |
Business Practice Address: | 1125 Camino Del Mar Ste F Del Mar, CA - 920142645 |
Business Phone Number: | 8582590220 |
Business Fax Number: | |
Mailing Address: | Po Box 1014, DEL MAR |
State: | CA |
Postal Code: | 920141014 |
Phone Number: | 8582590220 |
Fax Number: | |
NPI Enumeration Date: | 06/17/2005 |
NPI Last Update Date: | 11/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY5506 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |