Provider Demographics
NPI:1083713192
Name:HARTT, LYUDMILA VASILIEVNA (MD)
Entity Type:Individual
Prefix:DR
First Name:LYUDMILA
Middle Name:VASILIEVNA
Last Name:HARTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LYUDMILA
Other - Middle Name:VASILIEVNA
Other - Last Name:LIVINGSTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:19026 STONE OAK PKWY
Mailing Address - Street 2:205
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3227
Mailing Address - Country:US
Mailing Address - Phone:210-495-4085
Mailing Address - Fax:210-495-4086
Practice Address - Street 1:19026 STONE OAK PKWY
Practice Address - Street 2:205
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3227
Practice Address - Country:US
Practice Address - Phone:210-495-4085
Practice Address - Fax:210-495-4086
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTEMPORARY2084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry