Healthcare Provider Details

I. General information

NPI: 1134397938
Provider Name (Legal Business Name): ANNETTE M HYMAN LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2008
Last Update Date: 04/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1331 ASHTON RD
HANOVER MD
21076-3157
US

IV. Provider business mailing address

7516 SAFFRON CT
HANOVER MD
21076-1459
US

V. Phone/Fax

Practice location:
  • Phone: 443-597-2363
  • Fax: 410-760-4066
Mailing address:
  • Phone: 443-597-2363
  • Fax: 410-760-4066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLC2706
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: