Doctor Name: | ROBERTA HINMAN |
NPI Number: | 1326169145 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | |
Business Practice Address: | 809 N Main St Flora, IL - 628391033 |
Business Phone Number: | 6186622398 |
Business Fax Number: | |
Mailing Address: | 639 N Olive Rd, FLORA |
State: | IL |
Postal Code: | 628392416 |
Phone Number: | 6186622398 |
Fax Number: | 6186624830 |
NPI Enumeration Date: | 04/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |