Provider Demographics
NPI:1043205842
Name:HUME, JOHN MITCHELL (MD, JD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MITCHELL
Last Name:HUME
Suffix:
Gender:M
Credentials:MD, JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17053-9792
Mailing Address - Country:US
Mailing Address - Phone:717-957-2401
Mailing Address - Fax:717-957-2401
Practice Address - Street 1:875 VALLEY RD
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17053-9792
Practice Address - Country:US
Practice Address - Phone:717-957-2401
Practice Address - Fax:717-957-2401
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-18
Last Update Date:2024-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD025119L101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health