Provider Demographics
NPI:1144382862
Name:HYMEN, STEVEN PHILLIP (PHD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:PHILLIP
Last Name:HYMEN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10740 MERIDIAN AVE N STE 110
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-9010
Mailing Address - Country:US
Mailing Address - Phone:206-361-7544
Mailing Address - Fax:206-363-7622
Practice Address - Street 1:10740 MERIDIAN AVE N STE 110
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-9010
Practice Address - Country:US
Practice Address - Phone:206-361-7544
Practice Address - Fax:206-363-7622
Is Sole Proprietor?:No
Enumeration Date:2006-12-16
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY2210103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAR14341Medicare UPIN
WAAB08108Medicare ID - Type Unspecified