Doctor Name: | CARSON A. HARTMAN |
NPI Number: | 1699042820 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PROV. BHP |
License Number: | |
Business Practice Address: | 88 Fox St Suite 101 Madawaska, ME - 047561352 |
Business Phone Number: | 2077286341 |
Business Fax Number: | 2077287762 |
Mailing Address: | 88 Fox St, Suite 101 MADAWASKA |
State: | ME |
Postal Code: | 047561352 |
Phone Number: | 2077286341 |
Fax Number: | 2077287762 |
NPI Enumeration Date: | 11/16/2011 |
NPI Last Update Date: | 11/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |