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NPI Code Detail

MEDICARE: ABBY KATE HARTMAN MS, LPC

MEDICARE:   ABBY KATE HARTMAN  MS, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor82416TX

General Provider Information

NPI Number : 1396249843
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABBY KATE HARTMAN MS, LPC
Provider Business Mailing Address
First Line : 3110 WEBB AVE STE 160
Second Line :
City : DALLAS
State : TX
Zip : 75205-3503
Country : US
Telephone Number : 817-894-7741
Fax Number :
Provider Business Practice Location Address
First Line : 3110 WEBB AVE STE 160
Second Line :
City : DALLAS
State : TX
Zip : 75205-3503
Country : US
Telephone Number : 972-503-6964
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2018
Last Update Date : 09/09/2021

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Directions to “ ABBY KATE HARTMAN MS, LPC” Practice Location

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