Provider Demographics
NPI:1295862324
Name:HYMAN, JUDITH PARTNOW (LCSW, PHD)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:PARTNOW
Last Name:HYMAN
Suffix:
Gender:F
Credentials:LCSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16451 DORADO DR
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-4117
Mailing Address - Country:US
Mailing Address - Phone:818-501-5011
Mailing Address - Fax:818-784-7871
Practice Address - Street 1:16451 DORADO DR
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-4117
Practice Address - Country:US
Practice Address - Phone:818-501-5011
Practice Address - Fax:818-784-7871
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL74861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical